Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $71.92 / $78.73	Professional		$45.61	$71.92	$78.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $89.93 / $89.93	Facility		$89.93	$89.93	$89.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $87.82 / $154.54	Professional		$63.55	$87.82	$154.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $130.40 / $143.88	Facility		$89.93	$130.40	$143.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $89.93 / $90.00	Professional		$71.94	$89.93	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $94.32 / $421.32	Professional		$55.00	$94.32	$421.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $40.72 / $60.81	Professional		$29.91	$40.72	$60.81