Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $92.50 / $535.50	Facility		$12.95	$92.50	$535.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $12.95 / $43.20	Professional		$12.79	$12.95	$43.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Professional		$9.36	$9.36	$9.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $14.11 / $14.11	Facility		$13.00	$14.11	$14.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $14.04 / $14.82	Professional		$13.00	$14.04	$14.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.65 / $26.75	Facility		$13.26	$13.65	$26.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $124.77 / $124.77	Professional		$124.77	$124.77	$124.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $26.52 / $109.84	Professional		$13.26	$26.52	$109.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,025.39 / $3,719.58 / $4,000.88	Facility		$2,025.39	$3,719.58	$4,000.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $62.90 / $68.69	Professional		$44.93	$62.90	$68.69
United Facility/Professional Facility Modifier Low / Median / High Price $59.19 / $115.42 / $115.42	Facility		$59.19	$115.42	$115.42
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $15.60	Professional		$13.00	$13.00	$15.60