Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $93.28 / $124.37	Facility		$65.00	$93.28	$124.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $124.80 / $193.46	Professional		$96.62	$124.80	$193.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $124.37 / $124.37 / $124.37	Professional	25	$124.37	$124.37	$124.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $124.78 / $225.90	Professional		$85.02	$124.78	$225.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $147.22 / $253.36	Professional		$98.48	$147.22	$253.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.14 / $157.86 / $215.76	Facility		$101.14	$157.86	$215.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $194.81 / $249.23	Professional		$123.63	$194.81	$249.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $121.00 / $221.42	Professional		$73.50	$121.00	$221.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.59 / $162.25 / $375.55	Professional		$141.59	$162.25	$375.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $161.78 / $220.97	Professional		$134.47	$161.78	$220.97
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $153.82 / $367.70	Professional		$110.30	$153.82	$367.70