Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $19.80 / $85.80	Facility		$3.90	$19.80	$85.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.91 / $8.21	Professional		$0.09	$0.91	$8.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.10 / $0.16	Facility		$0.09	$0.10	$0.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.18	Facility		$0.09	$0.09	$0.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.16 / $0.16	Professional		$0.12	$0.16	$0.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $4,052.78 / $12,170.51	Facility		$3,750.00	$4,052.78	$12,170.51
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.16	Professional		$0.09	$0.09	$0.16