Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $411.60 / $1,201.35	Facility		$0.45	$411.60	$1,201.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.37 / $16.21	Professional		$0.36	$0.37	$16.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $79.00 / $84.00	Professional		$45.00	$79.00	$84.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.39 / $29.00	Facility		$0.36	$0.39	$29.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.97	Professional		$0.36	$0.36	$0.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.70	Facility		$0.36	$0.36	$0.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.38 / $0.57	Professional		$0.36	$0.38	$0.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Facility		$0.34	$0.34	$0.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.98	Professional		$0.34	$0.34	$0.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $6.21 / $46.71	Professional		$0.59	$6.21	$46.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,425.00 / $17,416.96 / $25,945.32	Facility		$3,425.00	$17,416.96	$25,945.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.64 / $33.40	Professional		$0.36	$0.64	$33.40
United Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.98 / $0.98	Facility		$0.50	$0.98	$0.98
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.38 / $0.46	Professional		$0.36	$0.38	$0.46