Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $89.89 / $111.11	Professional		$89.89	$89.89	$111.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $72.86 / $72.86	Facility		$72.86	$72.86	$72.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $104.17 / $104.17	Professional		$104.17	$104.17	$104.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $273.36 / $463.69	Professional		$193.04	$273.36	$463.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.19 / $272.00 / $446.10	Professional		$250.19	$272.00	$446.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $107.27 / $161.44	Professional		$64.41	$107.27	$161.44