Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.99 / $260.98 / $393.75	Facility		$89.99	$260.98	$393.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $93.01 / $219.12	Professional		$78.61	$93.01	$219.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.58 / $183.70 / $267.85	Facility		$88.58	$183.70	$267.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $126.39 / $232.87	Professional		$83.21	$126.39	$232.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.16 / $154.88 / $248.00	Facility		$101.16	$154.88	$248.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $148.69 / $258.91	Professional		$89.61	$148.69	$258.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $120.61 / $318.08	Professional		$96.01	$120.61	$318.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $113.31 / $182.78	Professional		$42.32	$113.31	$182.78
United Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $128.41 / $221.93	Professional		$97.92	$128.41	$221.93