Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $73.73 / $82.16	Professional		$51.61	$73.73	$82.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $91.68 / $91.68	Facility		$91.68	$91.68	$91.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $98.89 / $157.56	Professional		$64.80	$98.89	$157.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $132.94 / $146.69	Facility		$91.68	$132.94	$146.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $42.55	Professional		$42.55	$42.55	$42.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $91.68 / $91.68	Professional		$73.34	$91.68	$91.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $96.16 / $429.52	Professional		$55.00	$96.16	$429.52
United Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $44.22 / $62.01	Professional		$30.49	$44.22	$62.01