Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $49.66 / $64.30	Professional		$31.59	$49.66	$64.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $59.61 / $59.61	Facility		$59.61	$59.61	$59.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $64.29 / $102.43	Professional		$42.13	$64.29	$102.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $86.43 / $95.38	Facility		$59.61	$86.43	$95.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $59.61 / $90.00	Professional		$47.69	$59.61	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $65.00 / $279.27	Professional		$53.65	$65.00	$279.27
United Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $28.49 / $42.96	Professional		$19.82	$28.49	$42.96