Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $79.80 / $87.36	Professional		$52.44	$79.80	$87.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.77 / $99.77 / $99.77	Facility		$99.77	$99.77	$99.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $103.73 / $171.46	Professional		$70.51	$103.73	$171.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.77 / $144.66 / $159.63	Facility		$99.77	$144.66	$159.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $99.77 / $99.77	Professional		$79.81	$99.77	$99.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $104.65 / $467.42	Professional		$55.00	$104.65	$467.42
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $46.03 / $83.98	Professional		$33.18	$46.03	$83.98