Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.94 / $29.51	Professional		$3.98	$7.94	$29.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $5.50 / $12.02 / $34.67	Professional	25	$5.50	$12.02	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.57 / $7.24	Professional		$3.47	$4.57	$7.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $8.32 / $36.31	Professional		$4.68	$8.32	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.01 / $7.08	Facility		$3.39	$5.01	$7.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.62 / $9.77	Professional		$3.31	$5.62	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $8.13	Professional		$3.02	$3.98	$8.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.89 / $7.59	Professional		$5.13	$5.89	$7.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.46 / $9.55	Professional		$5.62	$6.46	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.76 / $12.30	Professional		$4.47	$6.76	$12.30