Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $95.32 / $103.91	Professional		$61.60	$95.32	$103.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.67 / $118.67 / $118.67	Facility		$118.67	$118.67	$118.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $115.89 / $203.94	Professional		$83.87	$115.89	$203.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.67 / $172.07 / $189.87	Facility		$118.67	$172.07	$189.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $48.97 / $48.97	Professional		$48.97	$48.97	$48.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $118.67 / $118.67	Professional		$94.94	$118.67	$118.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $124.47 / $555.97	Professional		$55.00	$124.47	$555.97
United Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $54.74 / $82.04	Professional		$39.47	$54.74	$82.04