Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $55.68 / $74.12	Professional		$40.25	$55.68	$74.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $66.83 / $66.83	Facility		$66.83	$66.83	$66.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $72.09 / $114.85	Professional		$47.23	$72.09	$114.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $96.90 / $106.93	Facility		$66.83	$96.90	$106.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $32.08	Professional		$32.08	$32.08	$32.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $66.83 / $90.00	Professional		$53.46	$66.83	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $70.09 / $313.10	Professional		$35.00	$70.09	$313.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $31.94 / $53.46	Professional		$22.23	$31.94	$53.46