Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $86.00 / $94.15	Professional		$48.82	$86.00	$94.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.52 / $107.52 / $107.52	Facility		$107.52	$107.52	$107.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $105.00 / $184.78	Professional		$75.98	$105.00	$184.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.52 / $155.90 / $172.03	Facility		$107.52	$155.90	$172.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $107.52 / $107.52	Professional		$86.02	$107.52	$107.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $112.78 / $503.73	Professional		$55.00	$112.78	$503.73
United Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.70 / $72.72	Professional		$35.76	$48.70	$72.72