Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $52.39 / $69.73	Professional		$33.33	$52.39	$69.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $62.88 / $62.88	Facility		$62.88	$62.88	$62.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $67.84 / $108.06	Professional		$44.44	$67.84	$108.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $91.18 / $100.61	Facility		$62.88	$91.18	$100.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $62.88 / $90.00	Professional		$50.30	$62.88	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $65.95 / $294.58	Professional		$56.59	$65.95	$294.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $30.06 / $52.28	Professional		$20.91	$30.06	$52.28