Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $26.72 / $26.72	Facility		$26.72	$26.72	$26.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $25.20 / $32.84	Professional		$15.59	$25.20	$32.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $85.43 / $100.88	Facility		$49.45	$85.43	$100.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $18.57 / $41.61	Professional		$14.52	$18.57	$41.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $92.36 / $169.95	Professional		$92.36	$92.36	$169.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $56.77 / $97.05	Professional		$43.07	$56.77	$97.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $50.88 / $65.51	Professional		$31.58	$50.88	$65.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $20.28 / $41.21	Professional		$3.07	$20.28	$41.21