Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $260.00 / $956.32	Facility		$3.77	$260.00	$956.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.10 / $54.35	Professional		$1.48	$2.10	$54.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.47 / $1.47	Professional		$1.32	$1.47	$1.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.61 / $1.61	Facility		$1.48	$1.61	$1.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.41 / $1.48	Professional		$1.33	$1.41	$1.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $2.90	Facility		$1.48	$1.48	$2.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $3.43	Professional		$3.43	$3.43	$3.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $1.48	Facility		$1.39	$1.39	$1.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.88	Professional		$1.48	$1.48	$1.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.02 / $13.00	Professional		$1.48	$2.02	$13.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $584.89 / $702.34 / $1,050.02	Facility		$584.89	$702.34	$1,050.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.56 / $2.70	Professional		$1.46	$1.56	$2.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $3.09	Professional		$1.48	$1.48	$3.09