Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $691.83 / $977.24	Facility		$223.87	$691.83	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $151.36 / $457.09	Professional		$45.71	$151.36	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $23.99 / $28.84	Professional		$0.23	$23.99	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.26 / $1.32	Facility		$0.24	$0.26	$1.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Facility		$0.23	$0.23	$0.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.24	Facility		$0.22	$0.22	$0.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.76 / $0.76	Professional		$0.21	$0.76	$0.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,187.76 / $2,187.76	Facility		$707.95	$2,187.76	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.47 / $0.66	Facility		$0.25	$0.47	$0.66
United Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.60 / $0.66	Professional		$0.59	$0.60	$0.66