Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.92 / $49.93	Professional		$19.57	$24.92	$49.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.78 / $12.03 / $15.22	Professional	52	$9.78	$12.03	$15.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $44.08 / $54.57	Professional		$44.08	$44.08	$54.57
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $12.93 / $12.93 / $12.93	Professional	52	$12.93	$12.93	$12.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $30.90 / $56.32	Professional		$19.89	$30.90	$56.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $34.92 / $35.10	Professional		$28.35	$34.92	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $27.75 / $65.81	Professional		$18.12	$27.75	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $32.33 / $56.27	Professional		$23.51	$32.33	$56.27
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $19.69 / $19.69 / $19.69	Professional	52	$19.69	$19.69	$19.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $47.71 / $55.98	Professional		$27.03	$47.71	$55.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $22.44 / $41.02	Professional		$16.13	$22.44	$41.02