Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $28.18 / $97.72	Facility		$5.25	$28.18	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.45 / $5.01	Professional		$0.89	$1.45	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $1.32 / $81.28	Professional		$0.65	$1.32	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.20 / $3.55	Facility		$0.65	$1.20	$3.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.69	Professional		$0.65	$0.65	$0.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.60 / $0.65	Facility		$0.60	$0.60	$0.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.87 / $2.19	Professional		$0.71	$0.87	$2.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,630.27 / $2,630.27	Facility		$741.31	$2,630.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $1.32 / $1.82	Facility		$0.71	$1.32	$1.82
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $3.39	Professional		$0.65	$0.65	$3.39