Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $84.91 / $222.76	Facility		$2.29	$84.91	$222.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.29 / $15.12	Professional		$2.04	$2.29	$15.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.52 / $3.72	Professional		$1.95	$2.52	$3.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.48 / $25.00	Facility		$2.29	$2.48	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.65	Professional		$2.29	$2.29	$2.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $3.66	Facility		$2.29	$2.29	$3.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $3.66	Professional		$1.95	$2.29	$3.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.16 / $2.29	Facility		$2.16	$2.16	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $4.84	Professional		$2.29	$2.29	$4.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $3.23 / $4.93	Professional		$1.93	$3.23	$4.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.60 / $9.89	Professional		$2.29	$3.60	$9.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.41 / $3.05	Professional		$2.29	$2.41	$3.05