Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $205.86 / $513.91	Facility		$60.93	$205.86	$513.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $55.59 / $137.68	Professional		$40.38	$55.59	$137.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	25	$217.68	$217.68	$217.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $61.59 / $98.68	Professional		$45.50	$61.59	$98.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $60.95 / $106.41	Professional		$26.38	$60.95	$106.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $71.51 / $95.29	Facility		$54.21	$71.51	$95.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $63.28 / $80.98	Professional		$50.56	$63.28	$80.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $112.67	Professional		$48.80	$48.80	$112.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $53.15 / $106.30	Professional		$51.00	$53.15	$106.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $91.40 / $110.90	Professional		$55.81	$91.40	$110.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $59.87 / $118.34	Professional		$34.61	$59.87	$118.34