Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $34.67 / $85.11	Facility		$7.08	$34.67	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $20.89	Professional		$6.03	$10.00	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $22.39	Professional		$7.24	$8.32	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $16.22	Professional		$8.91	$14.13	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.85 / $21.88	Facility		$12.30	$15.85	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $15.85	Professional		$10.47	$13.80	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.89 / $21.38	Facility		$19.05	$20.89	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $20.89	Professional		$15.49	$15.49	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $45.71	Professional		$12.02	$13.18	$45.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $33,113.11	Facility		$4,897.79	$4,897.79	$33,113.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.22	Professional		$14.13	$14.13	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.94 / $10.00	Facility		$6.31	$7.94	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.94 / $15.14	Professional		$5.37	$7.94	$15.14