Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $223.87 / $588.84	Facility		$89.13	$223.87	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $3.02	Professional		$0.03	$0.03	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.16	Facility		$0.03	$0.03	$0.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.55 / $0.55	Professional		$0.03	$0.55	$0.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,019.95 / $3,019.95	Facility		$1,258.93	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.06 / $0.08	Facility		$0.03	$0.06	$0.08
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.56	Professional		$0.03	$0.03	$0.56