Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $70.40 / $77.06	Professional		$51.56	$70.40	$77.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.02 / $88.02 / $88.02	Facility		$88.02	$88.02	$88.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $91.40 / $151.26	Professional		$62.20	$91.40	$151.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.02 / $127.63 / $140.83	Facility		$88.02	$127.63	$140.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $38.71	Professional		$38.71	$38.71	$38.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $88.02 / $90.00	Professional		$70.42	$88.02	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $92.33 / $412.37	Professional		$65.00	$92.33	$412.37
United Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $40.60 / $72.45	Professional		$29.27	$40.60	$72.45