Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $389.05 / $1,445.44	Facility		$53.70	$389.05	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $151.36	Professional		$18.20	$30.20	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $10.96 / $19.05	Professional		$2.34	$10.96	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.21 / $0.60	Facility		$0.11	$0.21	$0.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Facility		$0.10	$0.10	$0.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.16	Professional		$0.10	$0.11	$0.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.11	Facility		$0.10	$0.10	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $2.00	Professional		$0.10	$0.12	$2.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $43,651.58 / $43,651.58	Facility		$20,417.38	$43,651.58	$43,651.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.40 / $30.20	Professional		$0.10	$0.40	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.23 / $0.33	Facility		$0.13	$0.23	$0.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.15	Professional		$0.11	$0.12	$0.15