Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $77.81 / $152.80	Professional		$42.89	$77.81	$152.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $84.68 / $154.54 / $156.47	Professional	25	$84.68	$154.54	$156.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $105.46 / $139.58	Professional		$75.18	$105.46	$139.58
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.17 / $122.97 / $144.57	Professional	25	$85.17	$122.97	$144.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $79.05 / $149.57	Professional		$42.16	$79.05	$149.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $56.84 / $60.73	Facility		$41.76	$56.84	$60.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $80.63 / $104.62	Professional		$80.63	$80.63	$104.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $75.33 / $161.34	Professional		$41.89	$75.33	$161.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $89.63 / $304.55	Professional		$54.29	$89.63	$304.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $99.21 / $159.94	Professional		$54.04	$99.21	$159.94
United Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $85.42 / $146.52	Professional		$63.95	$85.42	$146.52