Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $81.43 / $105.60	Professional		$52.14	$81.43	$105.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.65 / $100.65 / $100.65	Facility		$100.65	$100.65	$100.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $108.59 / $172.97	Professional		$71.13	$108.59	$172.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.65 / $145.94 / $161.04	Facility		$100.65	$145.94	$161.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $100.65 / $100.65	Professional		$80.52	$100.65	$100.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $105.57 / $471.55	Professional		$65.00	$105.57	$471.55
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $48.01 / $68.87	Professional		$33.47	$48.01	$68.87