Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $64.02 / $79.04	Professional		$48.91	$64.02	$79.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $76.95 / $76.95	Facility		$76.95	$76.95	$76.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $83.01 / $132.26	Professional		$54.39	$83.01	$132.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $111.59 / $123.14	Facility		$76.95	$111.59	$123.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $36.94 / $36.94	Professional		$36.94	$36.94	$36.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $76.95 / $90.00	Professional		$61.57	$76.95	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $84.75 / $360.56	Professional		$70.65	$84.75	$360.56
United Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $37.59 / $57.83	Professional		$25.60	$37.59	$57.83