Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $407.38	Facility		$109.65	$204.17	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $151.36	Professional		$81.28	$107.15	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $208.93	Facility		$79.43	$154.88	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $257.04	Professional		$60.26	$151.36	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $371.54	Facility		$123.03	$239.88	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $363.08	Professional		$61.66	$123.03	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $954.99	Professional		$109.65	$158.49	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $263.03	Professional		$123.03	$151.36	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $109.65 / $134.90	Facility		$91.20	$109.65	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $169.82	Professional		$51.29	$75.86	$169.82