Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $70.79 / $263.03	Facility		$52.48	$70.79	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $75.86	Professional		$52.48	$63.10	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $81.28 / $102.33	Facility		$47.86	$81.28	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.02	Professional		$31.62	$31.62	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $239.88	Facility		$123.03	$173.78	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $446.68	Professional		$63.10	$63.10	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $616.60	Professional		$79.43	$91.20	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $144.54	Professional		$79.43	$104.71	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $109.65	Professional		$33.11	$47.86	$109.65