Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $72.44	Professional		$57.54	$57.54	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $57.54	Facility		$36.31	$36.31	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $288.40	Professional		$83.18	$147.91	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $123.03 / $173.78	Professional		$36.31	$123.03	$173.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $102.33	Facility		$22.39	$22.39	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $144.54	Professional		$26.30	$52.48	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.13 / $14.13	Facility		$12.59	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.44 / $56.23	Professional		$12.59	$23.44	$56.23