Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $104.71 / $426.58	Facility		$43.65	$104.71	$426.58
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $131.83 / $269.15 / $354.81	Facility	25	$131.83	$269.15	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $169.82	Professional		$42.66	$72.44	$169.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.95 / $85.11 / $173.78	Professional	25	$54.95	$85.11	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $117.49	Professional		$53.70	$72.44	$117.49
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $57.54 / $70.79 / $114.82	Professional	25	$57.54	$70.79	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $125.89	Professional		$48.98	$74.13	$125.89
Anthem BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	25	$60.26	$60.26	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $91.20	Facility		$46.77	$63.10	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $107.15	Professional		$64.57	$77.62	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $251.19	Facility		$100.00	$144.54	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $125.89	Professional		$50.12	$74.13	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $144.54	Professional		$41.69	$77.62	$144.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $354.81 / $354.81	Facility		$144.54	$354.81	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $141.25	Professional		$47.86	$79.43	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $63.10 / $74.13	Facility		$48.98	$63.10	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $114.82	Professional		$46.77	$70.79	$114.82