Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $68.31 / $128.15	Facility		$61.33	$68.31	$128.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $74.15 / $149.97	Professional		$60.33	$74.15	$149.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.62 / $77.51 / $198.10	Professional	25	$61.62	$77.51	$198.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $114.90 / $135.88	Professional		$68.48	$114.90	$135.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $76.72 / $130.78 / $140.62	Professional	25	$76.72	$130.78	$140.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $94.78 / $165.01	Professional		$70.75	$94.78	$165.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.79 / $99.02 / $132.30	Facility		$77.79	$99.02	$132.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $94.68 / $124.95	Professional		$75.87	$94.68	$124.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $112.00 / $189.37	Professional		$68.69	$112.00	$189.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $94.65 / $183.48	Professional		$72.81	$94.65	$183.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $111.24 / $146.81	Professional		$69.05	$111.24	$146.81
United Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $104.23 / $162.77	Professional		$78.20	$104.23	$162.77
United Facility/Professional Professional Modifier 25 Low / Median / High Price $70.00 / $98.97 / $99.10	Professional	25	$70.00	$98.97	$99.10