Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $158.15 / $208.32	Professional		$129.44	$158.15	$208.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.82 / $189.82 / $189.82	Facility		$189.82	$189.82	$189.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $204.77 / $326.22	Professional		$134.16	$204.77	$326.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.82 / $275.24 / $303.70	Facility		$189.82	$275.24	$303.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $189.82 / $194.41	Professional		$151.86	$189.82	$194.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $209.05 / $889.31	Professional		$174.26	$209.05	$889.31
United Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $92.72 / $135.86	Professional		$63.13	$92.72	$135.86