Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $436.52 / $1,096.48	Facility		$31.62	$436.52	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $25.70 / $100.00	Professional		$11.22	$25.70	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $56.23	Professional		$10.96	$16.60	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $42.66	Professional		$10.72	$12.88	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.14 / $23.44	Facility		$12.30	$15.14	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $67.61	Professional		$38.02	$46.77	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $48.98 / $95.50	Professional		$13.49	$48.98	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $51.29 / $77.62	Professional		$11.22	$51.29	$77.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $9,549.93 / $9,549.93	Facility		$4,365.16	$9,549.93	$9,549.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $47.86 / $102.33	Professional		$12.30	$47.86	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $43.65 / $100.00	Professional		$12.59	$43.65	$100.00