Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $194.98	Professional		$91.20	$107.15	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $234.42	Professional		$112.20	$138.04	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $251.19	Professional		$109.65	$154.88	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $363.08	Professional		$102.33	$134.90	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $295.12	Professional		$194.98	$234.42	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $223.87	Professional		$107.15	$138.04	$223.87