Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $58.07 / $64.59	Facility		$57.80	$58.07	$64.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $64.31 / $136.26	Professional		$56.79	$64.31	$136.26
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.16 / $185.50 / $185.50	Professional	25	$113.16	$185.50	$185.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $117.77 / $117.77	Professional		$99.11	$117.77	$117.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $122.01 / $131.66 / $131.66	Professional	25	$122.01	$131.66	$131.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $83.69 / $147.22	Professional		$65.97	$83.69	$147.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.53 / $92.53 / $92.53	Facility		$92.53	$92.53	$92.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $65.13 / $65.13	Professional		$65.13	$65.13	$65.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $98.70 / $164.12	Professional		$60.40	$98.70	$164.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $89.61 / $266.00	Professional		$68.93	$89.61	$266.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $102.88 / $130.27	Professional		$65.06	$102.88	$130.27
United Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $90.65 / $141.08	Professional		$68.29	$90.65	$141.08
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07