Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $104.38 / $114.28	Professional		$58.85	$104.38	$114.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $130.51 / $130.51	Facility		$130.51	$130.51	$130.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $127.45 / $224.29	Professional		$92.23	$127.45	$224.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $189.24 / $208.82	Facility		$130.51	$189.24	$208.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $130.51 / $130.51	Professional		$104.41	$130.51	$130.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $136.88 / $611.44	Professional		$65.00	$136.88	$611.44
United Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $59.12 / $88.27	Professional		$43.40	$59.12	$88.27