Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $51.29 / $288.40	Facility		$3.98	$51.29	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $9.77 / $72.44	Professional		$3.98	$9.77	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $9.55 / $85.11	Professional		$5.37	$9.55	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $37.15 / $69.18	Professional		$5.25	$37.15	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.13 / $10.72	Facility		$6.03	$8.13	$10.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $79.43	Professional		$48.98	$63.10	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $25.70 / $95.50	Professional		$5.62	$25.70	$95.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,128.61 / $6,025.60	Facility		$2,511.89	$5,128.61	$6,025.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $60.26 / $134.90	Professional		$6.61	$60.26	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $45.71 / $102.33	Professional		$5.62	$45.71	$102.33