Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $46.52 / $60.00	Professional		$29.16	$46.52	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $20.22 / $74.83	Professional		$15.50	$20.22	$74.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $73.31 / $121.34	Facility		$70.78	$73.31	$121.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $25.15 / $122.36	Professional		$8.05	$25.15	$122.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $70.78 / $394.33	Professional		$45.50	$70.78	$394.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $62.19 / $90.25	Professional		$49.19	$62.19	$90.25
United Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $32.38 / $113.74	Professional		$14.49	$32.38	$113.74