Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $74.31 / $80.83	Professional		$41.63	$74.31	$80.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $92.30 / $92.30	Facility		$92.30	$92.30	$92.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $90.14 / $158.63	Professional		$65.25	$90.14	$158.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $133.84 / $147.68	Facility		$92.30	$133.84	$147.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $36.14	Professional		$36.14	$36.14	$36.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $92.30 / $92.30	Professional		$73.84	$92.30	$92.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $96.82 / $432.43	Professional		$35.00	$96.82	$432.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $41.82 / $62.44	Professional		$30.70	$41.82	$62.44