Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $6.86 / $20.23	Facility		$6.86	$6.86	$20.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $7.27 / $9.19	Professional		$2.15	$7.27	$9.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $11.20 / $16.77	Professional		$8.33	$11.20	$16.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $9.86 / $23.18	Professional		$4.25	$9.86	$23.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $15.06 / $17.22	Facility		$10.76	$15.06	$17.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $14.53 / $24.97	Professional		$10.76	$14.53	$24.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $6.96 / $12.61	Facility		$6.96	$6.96	$12.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $19.92	Professional		$5.08	$5.08	$19.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $10.76 / $14.83	Professional		$9.00	$10.76	$14.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $2,625.00 / $2,625.00	Facility		$2,625.00	$2,625.00	$2,625.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.67 / $20.30	Professional		$18.29	$18.67	$20.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.32 / $14.67	Professional		$3.58	$5.32	$14.67