Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $54.55 / $62.83	Professional		$38.35	$54.55	$62.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $67.72 / $67.72	Facility		$67.72	$67.72	$67.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.37 / $116.36	Professional		$47.86	$69.37	$116.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $98.19 / $108.35	Facility		$67.72	$98.19	$108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $67.72 / $90.00	Professional		$54.18	$67.72	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $71.02 / $317.27	Professional		$35.00	$71.02	$317.27
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $30.68 / $49.22	Professional		$22.52	$30.68	$49.22