Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.93 / $148.66 / $254.12	Facility		$118.93	$148.66	$254.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $157.77 / $276.83	Professional		$109.12	$157.77	$276.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.77 / $157.87 / $205.00	Professional	25	$97.77	$157.87	$205.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.05 / $182.40 / $261.72	Professional		$153.05	$182.40	$261.72
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $192.00 / $299.30 / $299.30	Professional	25	$192.00	$299.30	$299.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $161.74 / $307.50	Professional		$120.90	$161.74	$307.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $96.04 / $96.04	Facility		$96.04	$96.04	$96.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $173.34	Professional		$147.90	$147.90	$173.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $161.21 / $543.00	Professional		$126.38	$161.21	$543.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $183.30 / $287.70	Professional		$119.84	$183.30	$287.70
United Facility/Professional Professional Modifier Low / Median / High Price $112.92 / $180.16 / $312.10	Professional		$112.92	$180.16	$312.10