Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $154.88	Professional		$38.90	$75.86	$154.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.28 / $154.88 / $416.87	Professional	25	$81.28	$154.88	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $151.36	Professional		$75.86	$117.49	$151.36
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $125.89 / $165.96	Professional	25	$85.11	$125.89	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $125.89	Professional		$41.69	$64.57	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $72.44	Facility		$42.66	$60.26	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Professional		$104.71	$104.71	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $165.96	Professional		$41.69	$74.13	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $109.65 / $302.00	Professional		$47.86	$109.65	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $125.89	Professional		$58.88	$109.65	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $102.33	Professional		$39.81	$64.57	$102.33