Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $416.87 / $501.19	Facility		$100.00	$416.87	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $181.97	Professional		$100.00	$125.89	$181.97
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 $51.29 / $60.26 / $309.03	Professional		$51.29	$60.26	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $457.09	Facility		$112.20	$245.47	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $588.84	Professional		$69.18	$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 / $323.59	Professional		$151.36	$186.21	$323.59
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 / $91.20 / $208.93	Professional		$63.10	$91.20	$208.93