Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.96 / $7.29	Facility		$4.29	$4.96	$7.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.33 / $5.90	Professional		$4.29	$4.33	$5.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $4.96 / $4.96	Professional		$4.96	$4.96	$4.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $6.86 / $15.74	Facility		$4.29	$6.86	$15.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.63	Professional		$4.29	$4.29	$4.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $8.41	Facility		$4.29	$4.29	$8.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Professional		$4.29	$4.29	$4.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.05 / $4.29	Facility		$4.05	$4.05	$4.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.51	Professional		$4.29	$4.29	$5.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $6.46 / $16.00	Professional		$1.65	$6.46	$16.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.31 / $20.14	Professional		$4.30	$7.31	$20.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $6.56	Professional		$4.29	$4.29	$6.56