Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $138.44 / $252.24	Professional		$83.20	$138.44	$252.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $138.44 / $190.00 / $333.56	Professional	25	$138.44	$190.00	$333.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $200.16 / $252.92	Professional		$133.44	$200.16	$252.92
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $133.44 / $195.76 / $247.74	Professional	25	$133.44	$195.76	$247.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $140.15 / $269.29	Professional		$87.18	$140.15	$269.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.03 / $117.09 / $125.09	Facility		$86.03	$117.09	$125.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $185.74	Professional		$142.63	$142.63	$185.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $138.13 / $283.48	Professional		$75.08	$138.13	$283.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $173.47 / $620.94	Professional		$111.84	$173.47	$620.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $178.70 / $285.77	Professional		$111.36	$178.70	$285.77
United Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $150.86 / $241.38	Professional		$105.19	$150.86	$241.38