Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $588.84	Facility		$114.82	$158.49	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $186.21	Professional		$114.82	$141.25	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $426.58	Facility		$173.78	$223.87	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $208.93	Professional		$173.78	$181.97	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $380.19 / $537.03	Facility		$275.42	$380.19	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $891.25	Professional		$141.25	$141.25	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $812.83	Professional		$158.49	$229.09	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $371.54	Professional		$169.82	$204.17	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $173.78	Facility		$158.49	$158.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $239.88	Professional		$74.13	$104.71	$239.88