Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $346.74 / $1,000.00	Facility		$53.70	$346.74	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $32.36 / $95.50	Professional		$2.95	$32.36	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $15.14 / $28.18	Professional		$0.17	$15.14	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.16 / $0.81	Facility		$0.15	$0.16	$0.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.15	Professional		$0.14	$0.14	$0.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.28	Facility		$0.15	$0.15	$0.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.24	Professional		$0.15	$0.15	$0.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.15	Facility		$0.14	$0.14	$0.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.19	Professional		$0.15	$0.15	$0.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.17 / $0.81	Professional		$0.15	$0.17	$0.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,715.35	Facility		$1,513.56	$1,513.56	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.16 / $0.32	Professional		$0.15	$0.16	$0.32
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.27 / $0.52	Facility		$0.15	$0.27	$0.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.25	Professional		$0.14	$0.15	$0.25