Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $99.64 / $109.08	Professional		$56.33	$99.64	$109.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $124.57 / $124.57	Facility		$124.57	$124.57	$124.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $121.65 / $214.09	Professional		$88.04	$121.65	$214.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $180.63 / $199.31	Facility		$124.57	$180.63	$199.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $49.92	Professional		$49.92	$49.92	$49.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $124.57 / $124.57	Professional		$99.66	$124.57	$124.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $130.66 / $583.61	Professional		$65.00	$130.66	$583.61
United Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $58.51 / $103.58	Professional		$41.43	$58.51	$103.58