Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $237.00 / $237.00	Facility		$237.00	$237.00	$237.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $15.59 / $30.78	Professional		$12.64	$15.59	$30.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $28.07 / $39.90	Professional		$15.12	$28.07	$39.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $16.11 / $25.80	Professional		$14.49	$16.11	$25.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $17.01 / $30.58	Facility		$11.38	$17.01	$30.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $15.13 / $23.92	Professional		$15.12	$15.13	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $15.60 / $23.40	Professional		$15.12	$15.60	$23.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $282.69 / $506.07	Facility		$235.34	$282.69	$506.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $21.13 / $28.05	Professional		$13.10	$21.13	$28.05
United Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $21.20 / $32.42	Professional		$15.02	$21.20	$32.42