Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $31.03 / $68.18	Professional		$18.05	$31.03	$68.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.69 / $9.69 / $24.80	Professional	52	$8.69	$9.69	$24.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $24.03 / $30.90	Professional		$15.35	$24.03	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $36.38 / $76.84	Professional		$15.71	$36.38	$76.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $19.16 / $21.62	Professional		$16.76	$19.16	$21.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $69.83 / $151.72	Professional		$49.15	$69.83	$151.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $22.70 / $105.05	Professional		$15.71	$22.70	$105.05
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $13.88 / $13.88 / $50.74	Professional	52	$13.88	$13.88	$50.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $26.67 / $36.49	Professional		$16.32	$26.67	$36.49
United Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $36.29 / $68.70	Professional		$23.90	$36.29	$68.70