Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $75.59 / $94.42	Professional		$52.04	$75.59	$94.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.87 / $90.87 / $90.87	Facility		$90.87	$90.87	$90.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $97.34 / $156.16	Professional		$64.23	$97.34	$156.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.87 / $131.76 / $145.38	Facility		$90.87	$131.76	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $90.87 / $93.36	Professional		$72.70	$90.87	$93.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $95.31 / $425.73	Professional		$35.00	$95.31	$425.73
United Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $43.44 / $68.29	Professional		$30.22	$43.44	$68.29