Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $181.29 / $225.10	Professional		$115.50	$181.29	$225.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $217.92	Facility		$217.92	$217.92	$217.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $235.06 / $374.54	Professional		$154.02	$235.06	$374.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $315.98 / $348.67	Facility		$217.92	$315.98	$348.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $217.92 / $222.96	Professional		$174.34	$217.92	$222.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.05 / $240.00 / $1,020.96	Professional		$200.05	$240.00	$1,020.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $104.18 / $163.78	Professional		$72.48	$104.18	$163.78