Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $77.62	Professional		$30.20	$37.15	$77.62
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $85.11 / $102.33 / $229.09	Professional	22	$85.11	$102.33	$229.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.11 / $43.65 / $120.23	Professional	52	$33.11	$43.65	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $64.57	Professional		$31.62	$43.65	$64.57
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $13.49 / $13.49 / $15.49	Professional	52	$13.49	$13.49	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $69.18	Professional		$33.11	$48.98	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $60.26	Facility		$30.20	$42.66	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $37.15	Facility		$32.36	$32.36	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $83.18	Professional		$26.92	$44.67	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $109.65	Professional		$21.38	$35.48	$109.65
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $70.79 / $70.79 / $81.28	Professional	22	$70.79	$70.79	$81.28
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $20.42 / $20.42 / $23.44	Professional	52	$20.42	$20.42	$23.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $67.61	Professional		$26.30	$40.74	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $64.57	Professional		$27.54	$37.15	$64.57