Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $82.65 / $154.06	Professional		$46.84	$82.65	$154.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $73.05 / $90.42 / $199.25	Professional	25	$73.05	$90.42	$199.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $121.16 / $151.07	Professional		$79.12	$121.16	$151.07
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $83.08 / $129.32 / $152.10	Professional	25	$83.08	$129.32	$152.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $83.88 / $157.29	Professional		$46.11	$83.88	$157.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.99 / $62.61 / $67.13	Facility		$45.99	$62.61	$67.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $84.66 / $110.03	Professional		$84.66	$84.66	$110.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $80.00 / $169.67	Professional		$45.66	$80.00	$169.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $99.05 / $331.47	Professional		$59.79	$99.05	$331.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $103.05 / $170.70	Professional		$59.34	$103.05	$170.70
United Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $89.75 / $158.04	Professional		$58.91	$89.75	$158.04