Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $82.16 / $223.99	Professional		$58.81	$82.16	$223.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.26 / $35.71 / $72.90	Professional	52	$30.26	$35.71	$72.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $121.98 / $164.87	Professional		$70.87	$121.98	$164.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $119.81 / $219.84	Professional		$63.78	$119.81	$219.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $81.45 / $91.88	Professional		$69.97	$81.45	$91.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $122.39 / $227.83	Professional		$78.15	$122.39	$227.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $92.13 / $305.06	Professional		$63.78	$92.13	$305.06
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $56.36 / $56.36 / $205.97	Professional	52	$56.36	$56.36	$205.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $70.17 / $134.97	Professional		$37.17	$70.17	$134.97
United Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $102.64 / $195.69	Professional		$70.01	$102.64	$195.69