Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $217.60 / $1,818.18	Facility		$0.09	$217.60	$1,818.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.60	Professional		$0.08	$0.08	$0.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $16.00 / $17.00	Professional		$5.00	$16.00	$17.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.09 / $16.00	Facility		$0.08	$0.09	$16.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.11	Professional		$0.08	$0.08	$0.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.14	Facility		$0.08	$0.08	$0.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.13	Professional		$0.08	$0.08	$0.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.12	Professional		$0.08	$0.08	$0.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.15 / $13.40	Professional		$0.08	$0.15	$13.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $716.17 / $3,104.17 / $3,750.60	Facility		$716.17	$3,104.17	$3,750.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.13 / $7.70	Professional		$0.06	$0.13	$7.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.11	Professional		$0.08	$0.08	$0.11