Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $138.69 / $455.40	Facility		$75.50	$138.69	$455.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $117.60 / $309.00 / $406.87	Facility	25	$117.60	$309.00	$406.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $96.78 / $212.79	Professional		$66.48	$96.78	$212.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.64 / $111.16 / $234.07	Professional	25	$72.64	$111.16	$234.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $143.47 / $200.56	Professional		$101.23	$143.47	$200.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $103.56 / $148.09 / $203.32	Professional	25	$103.56	$148.09	$203.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.28 / $112.86 / $212.52	Professional		$77.28	$112.86	$212.52
Anthem BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $88.33 / $88.33 / $88.33	Professional	25	$88.33	$88.33	$88.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $110.27 / $154.56	Facility		$81.44	$110.27	$154.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $127.85 / $168.23	Professional		$102.28	$127.85	$168.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $144.00 / $265.00	Facility		$109.51	$144.00	$265.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $112.96 / $210.63	Professional		$76.44	$112.96	$210.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $131.41 / $241.30	Professional		$87.82	$131.41	$241.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $174.45 / $180.13	Facility		$174.45	$174.45	$180.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $120.32 / $195.67	Professional		$75.84	$120.32	$195.67
United Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $122.47 / $216.49	Professional		$93.03	$122.47	$216.49