Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $32.43 / $69.59	Professional		$25.89	$32.43	$69.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.95 / $15.73 / $19.67	Professional	52	$12.95	$15.73	$19.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $48.09 / $57.96	Professional		$30.99	$48.09	$57.96
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $12.02 / $12.02 / $12.02	Professional	52	$12.02	$12.02	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $40.24 / $73.77	Professional		$26.08	$40.24	$73.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $46.02 / $46.35	Professional		$37.43	$46.02	$46.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $36.81 / $86.01	Professional		$23.76	$36.81	$86.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $42.61 / $74.16	Professional		$30.99	$42.61	$74.16
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $25.96 / $25.96 / $25.96	Professional	52	$25.96	$25.96	$25.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $62.99 / $76.06	Professional		$35.90	$62.99	$76.06
United Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $29.98 / $56.58	Professional		$21.32	$29.98	$56.58