Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $62.93 / $66.77	Professional		$39.01	$62.93	$66.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $78.12 / $78.12	Facility		$78.12	$78.12	$78.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $78.67 / $134.26	Professional		$55.22	$78.67	$134.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $113.27 / $124.99	Facility		$78.12	$113.27	$124.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $78.12 / $90.00	Professional		$62.50	$78.12	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $86.03 / $365.99	Professional		$71.70	$86.03	$365.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $37.35 / $64.95	Professional		$25.98	$37.35	$64.95