Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $90.45 / $120.60	Facility		$80.15	$90.45	$120.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $102.98 / $139.96	Professional		$71.45	$102.98	$139.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $231.69 / $248.82	Professional		$123.48	$231.69	$248.82
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $231.69 / $231.69 / $231.69	Professional	25	$231.69	$231.69	$231.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $124.11 / $217.91	Professional		$90.05	$124.11	$217.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.64 / $108.37 / $159.22	Facility		$74.64	$108.37	$159.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $163.13 / $211.13	Professional		$103.53	$163.13	$211.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $134.84 / $288.17	Professional		$81.78	$134.84	$288.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $134.02 / $493.14	Professional		$99.52	$134.02	$493.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $165.00 / $375.30	Professional		$163.50	$165.00	$375.30
United Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $164.01 / $300.86	Professional		$117.33	$164.01	$300.86