Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $172.04 / $220.37	Professional		$145.43	$172.04	$220.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.08 / $212.08 / $212.08	Facility		$212.08	$212.08	$212.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $228.78 / $364.49	Professional		$149.90	$228.78	$364.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.08 / $307.52 / $339.33	Facility		$212.08	$307.52	$339.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $212.08 / $217.47	Professional		$169.66	$212.08	$217.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.70 / $233.56 / $993.59	Professional		$194.70	$233.56	$993.59
United Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $103.60 / $169.67	Professional		$70.54	$103.60	$169.67