Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $363.08 / $1,148.15	Facility		$269.15	$363.08	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $398.11	Professional		$269.15	$331.13	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $446.68 / $524.81	Facility		$194.98	$446.68	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $407.38 / $407.38	Professional		$97.72	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,230.27	Facility		$630.96	$891.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $3,162.28	Professional		$363.08	$467.74	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $870.96	Professional		$407.38	$549.54	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $407.38	Facility		$363.08	$363.08	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $562.34	Professional		$169.82	$245.47	$562.34