Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $251.19 / $457.09	Facility		$91.20	$251.19	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $162.18	Professional		$91.20	$117.49	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $190.55	Facility		$89.13	$151.36	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $138.04 / $245.47	Professional		$54.95	$138.04	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $416.87	Facility		$138.04	$269.15	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $407.38	Professional		$61.66	$117.49	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $1,071.52	Professional		$123.03	$177.83	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $295.12	Professional		$138.04	$169.82	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $138.04	Facility		$123.03	$123.03	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $190.55	Professional		$57.54	$81.28	$190.55