Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $77.38 / $85.94	Professional		$43.62	$77.38	$85.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $96.74 / $96.74	Facility		$96.74	$96.74	$96.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $94.47 / $166.26	Professional		$68.37	$94.47	$166.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $140.27 / $154.78	Facility		$96.74	$140.27	$154.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $96.74 / $98.85	Professional		$77.39	$96.74	$98.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $106.54 / $453.23	Professional		$88.80	$106.54	$453.23
United Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $43.82 / $65.43	Professional		$31.29	$43.82	$65.43