Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $676.08	Facility		$134.90	$316.23	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $331.13	Professional		$134.90	$173.78	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $223.87 / $281.84	Facility		$131.83	$223.87	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $204.17 / $363.08	Professional		$81.28	$204.17	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $398.11 / $616.60	Facility		$204.17	$398.11	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $602.56	Professional		$91.20	$173.78	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $1,584.89	Professional		$181.97	$263.03	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $426.58	Professional		$204.17	$251.19	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $204.17	Facility		$123.03	$181.97	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $275.42	Professional		$85.11	$120.23	$275.42