Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $56.62 / $103.70	Facility		$3.26	$56.62	$103.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.15	Professional		$0.02	$0.02	$0.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $0.09	Professional		$0.02	$0.04	$0.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.06	Facility		$0.02	$0.02	$0.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.14	Professional		$0.02	$0.02	$0.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.81 / $10.00	Professional		$0.02	$0.81	$10.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $962.94 / $1,663.61 / $2,164.00	Facility		$962.94	$1,663.61	$2,164.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.10	Professional		$0.02	$0.02	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $5.15	Professional		$0.02	$0.04	$5.15