Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.11 / $81.11 / $92.47	Facility		$81.11	$81.11	$92.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $91.93 / $138.43	Professional		$69.75	$91.93	$138.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $78.22 / $171.75	Professional		$56.59	$78.22	$171.75
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $78.12 / $78.12 / $78.12	Professional	25	$78.12	$78.12	$78.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $99.65 / $171.86	Professional		$66.72	$99.65	$171.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.30 / $106.67 / $145.71	Facility		$68.30	$106.67	$145.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $131.50 / $168.21	Professional		$83.45	$131.50	$168.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $148.24	Professional		$65.00	$85.00	$148.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $109.50 / $253.35	Professional		$95.62	$109.50	$253.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $109.97 / $150.76	Professional		$91.64	$109.97	$150.76
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $107.51 / $252.94	Professional		$74.98	$107.51	$252.94