Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $41.25 / $87.91	Professional		$31.59	$41.25	$87.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.71 / $19.25 / $23.50	Professional	52	$15.71	$19.25	$23.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $58.09 / $82.37	Professional		$41.49	$58.09	$82.37
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $20.59 / $20.59 / $20.59	Professional	52	$20.59	$20.59	$20.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $49.03 / $89.29	Professional		$31.56	$49.03	$89.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $55.60 / $56.03	Professional		$45.26	$55.60	$56.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $44.73 / $104.81	Professional		$29.11	$44.73	$104.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $51.48 / $89.61	Professional		$37.44	$51.48	$89.61
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $31.36 / $31.36 / $31.36	Professional	52	$31.36	$31.36	$31.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $76.17 / $92.41	Professional		$43.34	$76.17	$92.41
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $36.60 / $69.12	Professional		$27.29	$36.60	$69.12