Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $34.79 / $153.13	Facility		$24.37	$34.79	$153.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $37.00 / $72.15	Professional		$24.31	$37.00	$72.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $35.59 / $50.00 / $73.40	Professional	25	$35.59	$50.00	$73.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.10 / $14.62 / $20.30	Professional	52	$11.10	$14.62	$20.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $57.51 / $70.61	Professional		$35.59	$57.51	$70.61
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $40.69 / $40.69 / $70.61	Professional	25	$40.69	$40.69	$70.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $38.09 / $69.37	Professional		$26.02	$38.09	$69.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $35.93 / $47.20	Facility		$27.94	$35.93	$47.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $43.98 / $56.29	Professional		$35.18	$43.98	$56.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $80.62	Professional		$34.82	$34.82	$80.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $38.03 / $76.06	Professional		$26.42	$38.03	$76.06
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $16.17 / $18.07 / $23.28	Professional	52	$16.17	$18.07	$23.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $49.83 / $76.73	Professional		$31.45	$49.83	$76.73
United Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $47.94 / $82.27	Professional		$34.61	$47.94	$82.27