Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $239.88	Professional		$58.88	$93.33	$239.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	52	$75.86	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $131.83	Professional		$61.66	$85.11	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $190.55	Professional		$81.28	$144.54	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $154.88	Professional		$64.57	$85.11	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $229.09	Professional		$81.28	$123.03	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $302.00	Professional		$67.61	$97.72	$302.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $56.23 / $56.23 / $204.17	Professional	52	$56.23	$56.23	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $158.49	Professional		$39.81	$77.62	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $194.98	Professional		$67.61	$100.00	$194.98