Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $537.03	Facility		$128.82	$173.78	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $229.09	Professional		$128.82	$162.18	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $501.19	Facility		$194.98	$245.47	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $323.59	Professional		$154.88	$194.98	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $380.19 / $588.84	Facility		$190.55	$380.19	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $575.44	Professional		$89.13	$173.78	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $1,513.56	Professional		$173.78	$251.19	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $407.38	Professional		$194.98	$239.88	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $194.98	Facility		$173.78	$173.78	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $263.03	Professional		$81.28	$114.82	$263.03