Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $126.26 / $157.57	Professional		$126.26	$126.26	$157.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $109.26 / $109.26	Facility		$109.26	$109.26	$109.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $152.75 / $152.75	Professional		$152.75	$152.75	$152.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $404.29 / $653.30	Professional		$285.50	$404.29	$653.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.05 / $391.00 / $632.39	Professional		$349.05	$391.00	$632.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $155.29 / $229.30	Professional		$95.55	$155.29	$229.30