Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $84.39 / $271.30	Facility		$12.51	$84.39	$271.30
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $46.75 / $111.15 / $271.30	Facility	25	$46.75	$111.15	$271.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $18.70 / $37.11	Professional		$7.44	$18.70	$37.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.02 / $32.72 / $55.00	Professional	25	$19.02	$32.72	$55.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $29.05 / $39.83	Professional		$16.88	$29.05	$39.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $18.14 / $29.42 / $42.01	Professional	25	$18.14	$29.42	$42.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $20.61 / $44.07	Professional		$8.41	$20.61	$44.07
Anthem BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $20.00 / $20.00 / $20.00	Professional	25	$20.00	$20.00	$20.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $11.82 / $16.38	Facility		$8.63	$11.82	$16.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $26.49 / $33.90	Professional		$20.75	$26.49	$33.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $144.00 / $265.00	Facility		$85.00	$144.00	$265.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $20.81 / $39.36	Professional		$9.32	$20.81	$39.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $22.63 / $43.61	Professional		$9.27	$22.63	$43.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $20.37 / $39.19	Professional		$8.01	$20.37	$39.19
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $25.60 / $42.80	Professional		$19.91	$25.60	$42.80