Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $92.95 / $101.39	Professional		$59.69	$92.95	$101.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.79 / $115.79 / $115.79	Facility		$115.79	$115.79	$115.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $120.14 / $198.99	Professional		$81.84	$120.14	$198.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.79 / $167.90 / $185.26	Facility		$115.79	$167.90	$185.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $115.79 / $115.79	Professional		$92.63	$115.79	$115.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $121.45 / $542.48	Professional		$55.00	$121.45	$542.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $52.89 / $78.31	Professional		$38.51	$52.89	$78.31