Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $51.29 / $251.19	Facility		$14.45	$51.29	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.92 / $64.57	Professional		$12.88	$26.92	$64.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.00 / $46.77 / $141.25	Professional	25	$10.00	$46.77	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $21.88	Professional		$11.75	$15.14	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $44.67	Professional		$17.38	$33.11	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $26.30	Facility		$16.22	$19.50	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $30.90	Professional		$12.88	$16.60	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $54.95	Professional		$17.78	$27.54	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $67.61	Professional		$14.13	$20.42	$67.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,365.16	Facility		$1,548.82	$1,548.82	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.49 / $33.11	Professional		$7.41	$15.49	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $43.65	Professional		$15.85	$22.39	$43.65