Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $34.68 / $235.20	Facility		$0.11	$34.68	$235.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $2.80	Professional		$0.11	$0.12	$2.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $12.00 / $19.00	Professional		$8.00	$12.00	$19.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.12 / $0.12	Facility		$0.11	$0.12	$0.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.22	Facility		$0.11	$0.11	$0.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.22 / $2.00	Professional		$0.12	$0.22	$2.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $619.90 / $654.17 / $1,082.95	Facility		$619.90	$654.17	$1,082.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.21	Professional		$0.10	$0.12	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.17	Professional		$0.11	$0.11	$0.17