Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $110.95 / $144.94	Professional		$75.20	$110.95	$144.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $133.16 / $133.16	Facility		$133.16	$133.16	$133.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $143.63 / $228.87	Professional		$94.12	$143.63	$228.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $193.10 / $213.07	Facility		$133.16	$193.10	$213.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $133.16 / $133.16	Professional		$105.57	$133.16	$133.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $146.66 / $623.90	Professional		$122.25	$146.66	$623.90
United Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $65.05 / $100.08	Professional		$44.29	$65.05	$100.08