Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $54.46 / $60.33	Professional		$41.12	$54.46	$60.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.31 / $67.31	Facility		$67.31	$67.31	$67.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $72.62 / $115.68	Professional		$47.57	$72.62	$115.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $97.61 / $107.71	Facility		$67.31	$97.61	$107.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $67.31 / $90.00	Professional		$53.86	$67.31	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.61 / $315.39	Professional		$55.00	$70.61	$315.39
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.38 / $46.45	Professional		$22.39	$32.38	$46.45