Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $100.99 / $106.31	Professional		$69.20	$100.99	$106.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.41 / $121.41 / $121.41	Facility		$121.41	$121.41	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $130.96 / $208.65	Professional		$85.81	$130.96	$208.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.41 / $176.04 / $194.26	Facility		$121.41	$176.04	$194.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $121.41 / $124.11	Professional		$97.13	$121.41	$124.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $127.35 / $568.80	Professional		$55.00	$127.35	$568.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $58.04 / $91.24	Professional		$40.38	$58.04	$91.24