Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $104.28 / $128.71	Professional		$66.34	$104.28	$128.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.17 / $125.17 / $125.17	Facility		$125.17	$125.17	$125.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $135.02 / $215.11	Professional		$88.47	$135.02	$215.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.17 / $181.50 / $200.27	Facility		$125.17	$181.50	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $125.17 / $125.17	Professional		$100.14	$125.17	$125.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $137.84 / $586.41	Professional		$114.90	$137.84	$586.41
United Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $61.15 / $100.13	Professional		$41.63	$61.15	$100.13