Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $77.09 / $97.60	Professional		$50.27	$77.09	$97.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $92.67 / $92.67	Facility		$92.67	$92.67	$92.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $99.96 / $159.27	Professional		$65.50	$99.96	$159.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $134.37 / $148.27	Facility		$92.67	$134.37	$148.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Professional		$44.32	$44.32	$44.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $92.67 / $94.47	Professional		$74.14	$92.67	$94.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $97.21 / $434.16	Professional		$65.00	$97.21	$434.16
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $45.27 / $69.64	Professional		$30.82	$45.27	$69.64