Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $575.44 / $1,096.48	Facility		$128.82	$575.44	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $407.38	Professional		$114.82	$147.91	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $251.19 / $741.31	Facility		$114.82	$251.19	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $776.25	Professional		$162.18	$309.03	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $177.83 / $2,238.72	Facility		$123.03	$177.83	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $295.12 / $812.83	Professional		$134.90	$295.12	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $1,258.93	Professional		$158.49	$208.93	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $251.19	Professional		$109.65	$125.89	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $7,585.78 / $7,585.78	Facility		$575.44	$7,585.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $602.56	Professional		$147.91	$257.04	$602.56