Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $34.67 / $84.00	Facility		$25.93	$34.67	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $26.77 / $54.92	Professional		$21.62	$26.77	$54.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $45.40 / $51.37 / $55.72	Professional	25	$45.40	$51.37	$55.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $41.31 / $48.66	Professional		$25.63	$41.31	$48.66
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $28.01 / $47.58 / $49.50	Professional	25	$28.01	$47.58	$49.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $31.10 / $55.50	Professional		$23.40	$31.10	$55.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $32.75 / $43.76	Facility		$25.74	$32.75	$43.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $31.44 / $41.66	Professional		$25.30	$31.44	$41.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $34.18 / $57.33	Professional		$23.08	$34.18	$57.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $33.71 / $107.72	Professional		$26.49	$33.71	$107.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $38.45 / $49.61	Professional		$23.30	$38.45	$49.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $32.97 / $52.70	Professional		$25.57	$32.97	$52.70