Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $223.03 / $283.85	Professional		$137.68	$223.03	$283.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.69 / $267.69 / $267.69	Facility		$267.69	$267.69	$267.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $288.74 / $460.05	Professional		$189.19	$288.74	$460.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.69 / $388.15 / $428.30	Facility		$267.69	$388.15	$428.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.15 / $267.69 / $274.58	Professional		$214.15	$267.69	$274.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $294.79 / $1,254.13	Professional		$245.75	$294.79	$1,254.13
United Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $130.76 / $181.05	Professional		$89.03	$130.76	$181.05