Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $5.25 / $9.77	Facility		$0.85	$5.25	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.19 / $8.32	Professional		$0.05	$0.19	$8.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $7.08 / $10.00	Professional		$0.08	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.08 / $0.38	Facility		$0.07	$0.08	$0.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Professional		$0.07	$0.07	$0.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.08	Facility		$0.07	$0.07	$0.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Professional		$0.07	$0.07	$0.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Facility		$0.07	$0.07	$0.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.54	Professional		$0.07	$0.07	$0.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.08 / $0.54	Professional		$0.06	$0.08	$0.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $2,951.21	Facility		$1,621.81	$2,951.21	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.16 / $0.22	Facility		$0.03	$0.16	$0.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.07 / $0.12	Professional		$0.03	$0.07	$0.12