Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $172.80 / $864.00	Facility		$56.34	$172.80	$864.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $11.74 / $42.79	Professional		$9.78	$11.74	$42.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $18.45 / $21.70	Professional		$10.44	$18.45	$21.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $11.16 / $17.63	Professional		$8.35	$11.16	$17.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $13.59 / $18.70	Facility		$10.69	$13.59	$18.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $11.81 / $21.30	Professional		$9.09	$11.81	$21.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $16.41 / $27.01	Professional		$10.26	$16.41	$27.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $15.20 / $29.46	Professional		$10.75	$15.20	$29.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,625.05 / $2,150.00 / $3,324.90	Facility		$1,625.05	$2,150.00	$3,324.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.82 / $22.42	Professional		$10.96	$16.82	$22.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $15.41 / $29.69	Professional		$9.96	$15.41	$29.69