Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $275.42	Facility		$69.18	$104.71	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $128.82	Professional		$54.95	$77.62	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $125.89 / $234.42	Facility		$60.26	$125.89	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $144.54	Professional		$50.12	$81.28	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $281.84	Facility		$102.33	$154.88	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $194.98	Professional		$57.54	$93.33	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $251.19	Professional		$83.18	$107.15	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $134.90	Professional		$58.88	$58.88	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $436.52 / $436.52	Facility		$33.88	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $158.49	Professional		$53.70	$85.11	$158.49