Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $281.84	Facility		$109.65	$218.78	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $165.96	Professional		$45.71	$57.54	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $190.55 / $275.42	Facility		$66.07	$190.55	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $165.96 / $316.23	Professional		$66.07	$165.96	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $97.72 / $426.58	Facility		$67.61	$97.72	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $131.83 / $338.84	Professional		$52.48	$131.83	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $489.78	Professional		$50.12	$69.18	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $112.20	Professional		$50.12	$57.54	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $912.01 / $912.01	Facility		$275.42	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $269.15	Professional		$58.88	$104.71	$269.15