Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $38.26 / $280.20	Facility		$13.58	$38.26	$280.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $21.68 / $56.03	Professional		$13.08	$21.68	$56.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $23.59 / $67.08	Professional	25	$20.07	$23.59	$67.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $17.01 / $26.68	Professional		$13.08	$17.01	$26.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $26.99 / $49.19	Professional		$12.57	$26.99	$49.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $18.97 / $26.16	Facility		$15.57	$18.97	$26.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $16.13 / $18.19	Professional		$13.62	$16.13	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $27.46 / $55.31	Professional		$16.75	$27.46	$55.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $18.30 / $66.98	Professional		$12.57	$18.30	$66.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $3,465.55 / $8,765.24	Facility		$1,750.00	$3,465.55	$8,765.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $13.78 / $27.71	Professional		$6.61	$13.78	$27.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.49 / $44.41	Professional		$16.14	$22.49	$44.41