Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $338.84 / $616.60	Facility		$123.03	$338.84	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $223.87	Professional		$123.03	$158.49	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $257.04	Facility		$120.23	$204.17	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $186.21 / $331.13	Professional		$74.13	$186.21	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $562.34	Facility		$186.21	$363.08	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $549.54	Professional		$85.11	$158.49	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $1,445.44	Professional		$165.96	$239.88	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $398.11	Professional		$186.21	$229.09	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $186.21	Facility		$165.96	$165.96	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $257.04	Professional		$77.62	$112.20	$257.04