Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $81.83 / $89.59	Professional		$51.84	$81.83	$89.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.31 / $102.31 / $102.31	Facility		$102.31	$102.31	$102.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $104.78 / $175.83	Professional		$72.31	$104.78	$175.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.31 / $148.35 / $163.69	Facility		$102.31	$148.35	$163.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $102.31 / $102.31	Professional		$81.84	$102.31	$102.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $107.31 / $479.32	Professional		$55.00	$107.31	$479.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $47.19 / $76.89	Professional		$34.03	$47.19	$76.89