Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $87.71 / $97.05	Professional		$58.63	$87.71	$97.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $113.90 / $188.45	Professional		$77.50	$113.90	$188.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.99 / $175.44	Facility		$109.65	$158.99	$175.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $109.65 / $109.65	Professional		$87.72	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $115.02 / $513.71	Professional		$55.00	$115.02	$513.71
United Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $50.14 / $77.30	Professional		$36.47	$50.14	$77.30