Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $81.28 / $101.44	Professional		$55.93	$81.28	$101.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.55 / $97.55 / $97.55	Facility		$97.55	$97.55	$97.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $105.22 / $167.65	Professional		$68.94	$105.22	$167.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.55 / $141.44 / $156.08	Facility		$97.55	$141.44	$156.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $97.55 / $99.94	Professional		$78.04	$97.55	$99.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $107.43 / $457.02	Professional		$89.55	$107.43	$457.02
United Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $47.65 / $78.04	Professional		$32.44	$47.65	$78.04