Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $159.41 / $189.96	Professional		$121.53	$159.41	$189.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.34 / $191.34 / $191.34	Facility		$191.34	$191.34	$191.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $206.40 / $328.85	Professional		$135.24	$206.40	$328.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.34 / $277.44 / $306.14	Facility		$191.34	$277.44	$306.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $191.34 / $195.51	Professional		$153.07	$191.34	$195.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.65 / $210.72 / $896.43	Professional		$175.65	$210.72	$896.43
United Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $93.47 / $129.41	Professional		$63.64	$93.47	$129.41