Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $92.67 / $101.06	Professional		$55.56	$92.67	$101.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.04 / $115.04 / $115.04	Facility		$115.04	$115.04	$115.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $121.89 / $197.70	Professional		$81.30	$121.89	$197.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.04 / $166.81 / $184.06	Facility		$115.04	$166.81	$184.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $115.04 / $115.04	Professional		$92.03	$115.04	$115.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $120.66 / $538.96	Professional		$65.00	$120.66	$538.96
United Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $53.66 / $94.69	Professional		$38.26	$53.66	$94.69