Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $54.47 / $64.08	Professional		$45.10	$54.47	$64.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Facility		$67.06	$67.06	$67.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $72.34 / $115.24	Professional		$47.40	$72.34	$115.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $97.24 / $107.30	Facility		$67.06	$97.24	$107.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $32.19 / $32.19	Professional		$32.19	$32.19	$32.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $67.06 / $90.00	Professional		$53.65	$67.06	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.34 / $314.18	Professional		$55.00	$70.34	$314.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $32.06 / $48.00	Professional		$22.30	$32.06	$48.00