Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $81.28 / $1,000.00	Facility		$5.50	$81.28	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.68	Professional		$2.00	$2.00	$4.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.40	Professional		$2.04	$2.04	$2.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.57 / $13.18	Facility		$2.40	$2.57	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.02	Professional		$2.40	$2.40	$3.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.40	Facility		$2.24	$2.24	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $7.24 / $7.24	Professional		$2.34	$7.24	$7.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,912.51 / $8,912.51	Facility		$2,137.96	$8,912.51	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.47 / $6.31	Facility		$2.45	$4.47	$6.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $10.96	Professional		$2.40	$2.40	$10.96