Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $89.53 / $107.83	Professional		$68.26	$89.53	$107.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $107.62 / $107.62	Facility		$107.62	$107.62	$107.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $116.08 / $184.96	Professional		$76.06	$116.08	$184.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $156.05 / $172.19	Facility		$107.62	$156.05	$172.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $107.62 / $109.84	Professional		$86.10	$107.62	$109.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $118.51 / $504.20	Professional		$98.79	$118.51	$504.20
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $51.45 / $77.03	Professional		$35.79	$51.45	$77.03