Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $114.82	Professional		$57.54	$66.07	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $134.90	Professional		$72.44	$85.11	$134.90
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 $69.18 / $100.00 / $158.49	Professional		$69.18	$100.00	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $234.42	Professional		$64.57	$83.18	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $186.21	Professional		$141.25	$154.88	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $144.54	Professional		$69.18	$91.20	$144.54