Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $142.50 / $165.92	Professional		$89.36	$142.50	$165.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $175.16 / $175.16	Facility		$175.16	$175.16	$175.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $188.91 / $301.02	Professional		$123.80	$188.91	$301.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $253.98 / $280.26	Facility		$175.16	$253.98	$280.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $80.93	Professional		$80.93	$80.93	$80.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $175.16 / $175.16	Professional		$140.13	$175.16	$175.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $192.90 / $820.62	Professional		$160.79	$192.90	$820.62
United Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $84.11 / $134.88	Professional		$58.26	$84.11	$134.88