Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $73.84 / $402.49	Facility		$1.99	$73.84	$402.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.00 / $34.32	Professional		$1.98	$2.00	$34.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $2.71 / $3.29	Professional		$1.72	$2.71	$3.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.16 / $20.00	Facility		$1.99	$2.16	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $4.05	Professional		$1.99	$1.99	$4.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $3.18	Facility		$1.99	$1.99	$3.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.99 / $3.18	Professional		$1.72	$1.99	$3.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $1.99	Facility		$1.88	$1.88	$1.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $3.12	Professional		$1.99	$1.99	$3.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.68 / $4.83	Professional		$1.51	$2.68	$4.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $21,187.46 / $26,476.70 / $41,111.18	Facility		$21,187.46	$26,476.70	$41,111.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $3.18 / $9.09	Professional		$1.99	$3.18	$9.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.06 / $2.65	Professional		$1.99	$2.06	$2.65