Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $55.55 / $69.69	Professional		$55.55	$55.55	$69.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Facility		$36.36	$36.36	$36.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $66.18 / $66.18	Professional		$66.18	$66.18	$66.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $170.69 / $289.58	Professional		$103.63	$170.69	$289.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $121.00 / $273.62	Professional		$121.00	$121.00	$273.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $58.85 / $99.56	Professional		$34.40	$58.85	$99.56