Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $150.58 / $187.00	Professional		$95.79	$150.58	$187.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $180.74 / $180.74	Facility		$180.74	$180.74	$180.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $194.94 / $310.61	Professional		$127.74	$194.94	$310.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $262.07 / $289.18	Facility		$180.74	$262.07	$289.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $180.74 / $184.53	Professional		$144.59	$180.74	$184.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.91 / $199.04 / $846.77	Professional		$165.91	$199.04	$846.77
United Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $86.40 / $135.16	Professional		$60.11	$86.40	$135.16