Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $933.25	Facility		$194.98	$323.59	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $346.74	Professional		$147.91	$208.93	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $416.87 / $602.56	Facility		$194.98	$416.87	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $398.11	Professional		$147.91	$239.88	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $537.03	Facility		$257.04	$380.19	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $575.44	Professional		$190.55	$316.23	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $524.81	Professional		$229.09	$316.23	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $257.04 / $309.03	Professional		$46.77	$257.04	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $977.24 / $977.24	Facility		$158.49	$977.24	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $512.86	Professional		$158.49	$251.19	$512.86