Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $40.11 / $77.52	Professional		$31.29	$40.11	$77.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.65 / $18.96 / $34.92	Professional	52	$15.65	$18.96	$34.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $58.87 / $58.87	Professional		$58.87	$58.87	$58.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $63.59 / $124.66	Professional		$26.54	$63.59	$124.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $36.54 / $41.21	Professional		$32.11	$36.54	$41.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $117.67 / $289.02	Professional		$72.27	$117.67	$289.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $43.24 / $159.43	Professional		$29.93	$43.24	$159.43
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $26.45 / $26.45 / $96.65	Professional	52	$26.45	$26.45	$96.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $51.26 / $68.30	Professional		$31.60	$51.26	$68.30
United Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $51.75 / $121.24	Professional		$35.04	$51.75	$121.24