Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $265.20 / $1,431.24	Facility		$0.11	$265.20	$1,431.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $21.00	Professional		$0.10	$0.11	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $20.00 / $23.00	Professional		$11.00	$20.00	$23.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $0.18	Facility		$0.10	$0.11	$0.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.19	Facility		$0.10	$0.10	$0.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.16	Professional		$0.10	$0.11	$0.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.13	Professional		$0.10	$0.10	$0.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.81 / $2.14	Professional		$0.12	$0.81	$2.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,739.20 / $20,293.73 / $30,595.63	Facility		$8,739.20	$20,293.73	$30,595.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.19 / $3.40	Professional		$0.10	$0.19	$3.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.13	Professional		$0.10	$0.11	$0.13