Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $2,221.00 / $6,915.00	Facility		$5.59	$2,221.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $14.63 / $76.18	Professional		$3.58	$14.63	$76.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.89 / $2.80 / $6.01	Professional	52	$0.89	$2.80	$6.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $9.08 / $10.97	Professional		$6.02	$9.08	$10.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $6.45 / $12.61	Professional		$2.48	$6.45	$12.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $2.35 / $7.14	Facility		$1.87	$2.35	$7.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $7.10 / $7.59	Professional		$5.86	$7.10	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $5.21 / $12.43	Professional		$2.10	$5.21	$12.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $7.10 / $29.29	Professional		$2.13	$7.10	$29.29
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1.13 / $1.13 / $3.80	Professional	52	$1.13	$1.13	$3.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $5.86 / $10.26	Professional		$2.13	$5.86	$10.26
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $9.07 / $15.30	Professional		$5.53	$9.07	$15.30