Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $112.86 / $122.68	Professional		$84.06	$112.86	$122.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $140.10 / $140.10	Facility		$140.10	$140.10	$140.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $146.99 / $240.78	Professional		$99.03	$146.99	$240.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $203.15 / $224.16	Facility		$140.10	$203.15	$224.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Professional		$62.26	$62.26	$62.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $140.10 / $140.10	Professional		$112.08	$140.10	$140.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $154.29 / $656.37	Professional		$128.61	$154.29	$656.37
United Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $64.70 / $97.47	Professional		$46.60	$64.70	$97.47