Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $81.11 / $92.47	Facility		$68.95	$81.11	$92.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $68.56 / $106.28	Professional		$51.71	$68.56	$106.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.11 / $81.11 / $110.00	Professional	25	$81.11	$81.11	$110.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $64.58 / $113.68	Professional		$57.61	$64.58	$113.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $71.01 / $118.41	Professional		$44.19	$71.01	$118.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $74.78 / $103.34	Facility		$48.44	$74.78	$103.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $91.55 / $117.36	Professional		$58.10	$91.55	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $69.00 / $123.09	Professional		$31.48	$69.00	$123.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $76.62 / $193.57	Professional		$67.81	$76.62	$193.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $79.03 / $107.97	Professional		$68.78	$79.03	$107.97
United Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $76.03 / $187.38	Professional		$49.96	$76.03	$187.38