Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $120.22 / $137.80	Professional		$87.98	$120.22	$137.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $148.60 / $148.60	Facility		$148.60	$148.60	$148.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $160.28 / $255.38	Professional		$105.03	$160.28	$255.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $215.47 / $237.76	Facility		$148.60	$215.47	$237.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $148.60 / $152.68	Professional		$118.88	$148.60	$152.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $163.65 / $696.19	Professional		$136.41	$163.65	$696.19
United Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $71.04 / $106.35	Professional		$49.42	$71.04	$106.35