Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $149.97 / $156.81	Professional		$87.80	$149.97	$156.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.21 / $188.21 / $188.21	Facility		$188.21	$188.21	$188.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $178.79 / $323.47	Professional		$133.03	$178.79	$323.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.21 / $272.89 / $301.14	Facility		$188.21	$272.89	$301.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $188.21 / $188.21	Professional		$140.77	$188.21	$188.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $197.42 / $881.76	Professional		$65.00	$197.42	$881.76
United Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $85.26 / $156.50	Professional		$58.69	$85.26	$156.50