Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $116.56 / $213.08	Professional		$65.15	$116.56	$213.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $45.82 / $123.39 / $231.04	Professional	25	$45.82	$123.39	$231.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.51 / $150.00 / $214.03	Professional		$112.51	$150.00	$214.03
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $120.92 / $182.60 / $214.03	Professional	25	$120.92	$182.60	$214.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $118.45 / $222.10	Professional		$69.45	$118.45	$222.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.38 / $94.45 / $101.11	Facility		$69.38	$94.45	$101.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $120.29 / $156.51	Professional		$120.29	$120.29	$156.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $115.15 / $239.58	Professional		$63.20	$115.15	$239.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $146.26 / $499.68	Professional		$90.19	$146.26	$499.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $146.54 / $241.84	Professional		$89.64	$146.54	$241.84
United Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $127.08 / $209.01	Professional		$95.82	$127.08	$209.01