Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $109.60 / $116.62	Professional		$61.79	$109.60	$116.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.03 / $137.03 / $137.03	Facility		$137.03	$137.03	$137.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $130.16 / $235.50	Professional		$96.85	$130.16	$235.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.03 / $198.69 / $219.25	Facility		$137.03	$198.69	$219.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $137.03 / $137.03	Professional		$102.37	$137.03	$137.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $143.72 / $641.99	Professional		$65.00	$143.72	$641.99
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $62.07 / $102.98	Professional		$42.73	$62.07	$102.98