Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $188.08 / $245.67	Professional		$141.09	$188.08	$245.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $226.10 / $226.10	Facility		$226.10	$226.10	$226.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $243.90 / $388.57	Professional		$159.80	$243.90	$388.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $327.85 / $361.76	Facility		$226.10	$327.85	$361.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $226.10 / $231.76	Professional		$180.88	$226.10	$231.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $248.99 / $1,059.28	Professional		$207.56	$248.99	$1,059.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $108.09 / $169.92	Professional		$75.20	$108.09	$169.92