Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $137.57 / $143.30	Professional		$77.56	$137.57	$143.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Facility		$172.00	$172.00	$172.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $163.40 / $295.60	Professional		$121.56	$163.40	$295.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $249.40 / $275.20	Facility		$172.00	$249.40	$275.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.97 / $172.00 / $172.00	Professional		$127.97	$172.00	$172.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $180.41 / $805.82	Professional		$65.00	$180.41	$805.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $77.92 / $116.33	Professional		$53.63	$77.92	$116.33