Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $86.33 / $94.52	Professional		$51.72	$86.33	$94.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $107.94 / $107.94	Facility		$107.94	$107.94	$107.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $105.91 / $185.51	Professional		$76.29	$105.91	$185.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $156.51 / $172.70	Facility		$107.94	$156.51	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $44.86	Professional		$44.86	$44.86	$44.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $107.94 / $107.94	Professional		$86.35	$107.94	$107.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $113.22 / $505.70	Professional		$65.00	$113.22	$505.70
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $49.78 / $89.75	Professional		$35.90	$49.78	$89.75