Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $35.83 / $77.56	Professional		$30.02	$35.83	$77.56
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $85.69 / $100.81 / $103.28	Professional	22	$85.69	$100.81	$103.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.58 / $17.28 / $23.59	Professional	52	$14.58	$17.28	$23.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $46.98 / $62.11	Professional		$33.56	$46.98	$62.11
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $16.85 / $16.85 / $16.85	Professional	52	$16.85	$16.85	$16.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $43.03 / $75.84	Professional		$26.79	$43.03	$75.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $41.38 / $49.25	Facility		$29.80	$41.38	$49.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $43.86 / $44.11	Professional		$35.43	$43.86	$44.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $32.72 / $37.36	Facility		$32.72	$32.72	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $48.39 / $86.82	Professional		$28.21	$48.39	$86.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $38.43 / $109.58	Professional		$28.23	$38.43	$109.58
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $70.70 / $70.70 / $81.06	Professional	22	$70.70	$70.70	$81.06
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $20.62 / $20.62 / $23.65	Professional	52	$20.62	$20.62	$23.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $47.41 / $66.80	Professional		$25.63	$47.41	$66.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $39.72 / $70.20	Professional		$31.15	$39.72	$70.20