Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $229.09	Professional		$100.00	$125.89	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $251.19	Professional		$107.15	$169.82	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $251.19	Professional		$102.33	$144.54	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $602.56	Professional		$89.13	$117.49	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $263.03	Professional		$173.78	$208.93	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $218.78	Professional		$95.50	$128.82	$218.78