Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $7.00 / $7.00	Professional		$6.65	$7.00	$7.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Professional		$460.00	$460.00	$460.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $19.86 / $19.86	Professional		$19.86	$19.86	$19.86