Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $120.23 / $446.68	Facility		$89.13	$120.23	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $128.82	Professional		$87.10	$107.15	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $588.84	Facility		$134.90	$173.78	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $281.84	Professional		$223.87	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $407.38	Facility		$208.93	$295.12	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $758.58	Professional		$107.15	$107.15	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $1,047.13	Professional		$120.23	$154.88	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $288.40	Professional		$131.83	$154.88	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Facility		$120.23	$120.23	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $186.21	Professional		$56.23	$81.28	$186.21