Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $379.20 / $1,038.00	Facility		$32.50	$379.20	$1,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $22.29 / $96.72	Professional		$11.36	$22.29	$96.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $22.46 / $80.00	Professional		$12.35	$22.46	$80.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $13.03 / $34.54	Professional		$9.41	$13.03	$34.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $14.45 / $23.05	Facility		$11.45	$14.45	$23.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $49.77 / $89.40	Professional		$38.28	$49.77	$89.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $47.62 / $101.94	Professional		$13.48	$47.62	$101.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $44.02 / $73.51	Professional		$11.80	$44.02	$73.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,334.00 / $5,799.61 / $6,526.47	Facility		$4,334.00	$5,799.61	$6,526.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $42.37 / $87.63	Professional		$12.37	$42.37	$87.63
United Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $72.13 / $130.56	Professional		$48.17	$72.13	$130.56