Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $165.51 / $392.81	Facility		$102.61	$165.51	$392.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $102.61 / $191.57	Professional		$87.34	$102.61	$191.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $197.01 / $326.36	Facility		$103.99	$197.01	$326.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $130.84 / $272.79	Professional		$89.04	$130.84	$272.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $214.76 / $302.75	Facility		$136.00	$214.76	$302.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $154.51 / $288.44	Professional		$88.54	$154.51	$288.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $192.00 / $402.57	Professional		$120.44	$192.00	$402.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $195.00 / $332.00	Professional		$133.90	$195.00	$332.00
United Facility/Professional Facility Modifier Low / Median / High Price $273.50 / $583.67 / $583.67	Facility		$273.50	$583.67	$583.67
United Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $131.93 / $242.62	Professional		$94.84	$131.93	$242.62