Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $68.04 / $90.49	Professional		$43.24	$68.04	$90.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.66 / $81.66 / $81.66	Facility		$81.66	$81.66	$81.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $88.08 / $140.35	Professional		$57.72	$88.08	$140.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.66 / $118.41 / $130.66	Facility		$81.66	$118.41	$130.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $81.66 / $90.00	Professional		$65.33	$81.66	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $85.66 / $382.58	Professional		$35.00	$85.66	$382.58
United Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $39.04 / $58.79	Professional		$27.16	$39.04	$58.79