Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $142.44 / $154.16	Professional		$120.73	$142.44	$154.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.06 / $176.06 / $176.06	Facility		$176.06	$176.06	$176.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $189.90 / $302.56	Professional		$124.43	$189.90	$302.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.06 / $255.29 / $281.70	Facility		$176.06	$255.29	$281.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $176.06 / $180.13	Professional		$140.85	$176.06	$180.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $184.67 / $824.84	Professional		$65.00	$184.67	$824.84
United Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $86.00 / $126.01	Professional		$58.56	$86.00	$126.01