Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $275.42 / $501.19	Facility		$100.00	$275.42	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $239.88	Professional		$100.00	$128.82	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $162.18 / $208.93	Facility		$91.20	$162.18	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $302.00	Professional		$30.20	$60.26	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $457.09	Facility		$151.36	$245.47	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $588.84	Professional		$67.61	$151.36	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $1,174.90	Professional		$134.90	$173.78	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $316.23	Professional		$151.36	$186.21	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $151.36	Facility		$91.20	$134.90	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $204.17	Professional		$63.10	$89.13	$204.17