Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Facility		$0.35	$0.35	$0.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.38 / $0.46	Professional		$0.26	$0.38	$0.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.51 / $1.13	Professional		$0.30	$0.51	$1.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.76 / $0.86	Facility		$0.54	$0.76	$0.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.73 / $1.25	Professional		$0.54	$0.73	$1.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.64	Facility		$0.33	$0.33	$0.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.45	Professional		$0.28	$0.28	$0.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $1.08	Professional		$0.54	$0.54	$1.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,409.00 / $5,409.00 / $5,409.00	Facility		$5,409.00	$5,409.00	$5,409.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.67 / $1.00	Professional		$0.35	$0.67	$1.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.28 / $0.74	Professional		$0.18	$0.28	$0.74