Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $70.97 / $75.31	Professional		$43.99	$70.97	$75.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.09 / $88.09 / $88.09	Facility		$88.09	$88.09	$88.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $88.69 / $151.40	Professional		$62.26	$88.69	$151.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.09 / $127.73 / $140.94	Facility		$88.09	$127.73	$140.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $37.57	Professional		$37.57	$37.57	$37.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $88.09 / $90.00	Professional		$70.47	$88.09	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $97.01 / $412.70	Professional		$80.86	$97.01	$412.70
United Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $40.97 / $72.53	Professional		$29.30	$40.97	$72.53