Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $1,174.90	Facility		$18.20	$18.20	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $25.12	Professional		$12.88	$19.05	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.89	Professional		$20.42	$20.42	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $38.02	Professional		$15.49	$24.55	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $40.74 / $46.77	Facility		$29.51	$40.74	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $46.77	Professional		$29.51	$40.74	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $35.48	Professional		$15.14	$15.14	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $53.70	Professional		$22.39	$30.20	$53.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $1,174.90	Facility		$562.34	$691.83	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $34.67 / $47.86	Professional		$10.00	$34.67	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $23.99	Professional		$9.77	$14.13	$23.99