Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $24.43 / $26.74	Professional		$13.77	$24.43	$26.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Facility		$30.55	$30.55	$30.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $29.02 / $52.48	Professional		$21.59	$29.02	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $44.30 / $48.88	Facility		$30.55	$44.30	$48.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $30.55 / $48.88	Professional		$24.44	$30.55	$48.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $33.63 / $143.13	Professional		$28.04	$33.63	$143.13
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.84 / $20.66	Professional		$9.52	$13.84	$20.66