Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $186.21 / $870.96	Facility		$54.95	$186.21	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.60 / $70.79	Professional		$8.91	$16.60	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $21.88	Professional		$10.47	$13.18	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.22 / $15.85	Professional		$8.71	$11.22	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.45 / $20.89	Facility		$11.22	$14.45	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $15.85	Professional		$9.12	$10.96	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $27.54	Professional		$10.23	$15.49	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $33.11	Professional		$12.59	$15.85	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $5,754.40	Facility		$2,137.96	$3,981.07	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $28.18	Professional		$11.75	$16.60	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $28.18	Professional		$9.77	$14.79	$28.18