Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $36.97 / $59.68	Facility		$28.02	$36.97	$59.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $30.13 / $42.75	Professional		$23.04	$30.13	$42.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $44.93 / $139.46	Facility		$23.07	$44.93	$139.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $17.28 / $55.47	Professional		$14.23	$17.28	$55.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $61.60 / $110.97	Facility		$9.00	$61.60	$110.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $19.57 / $69.45	Professional		$12.25	$19.57	$69.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $39.67 / $234.00	Professional		$32.01	$39.67	$234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $54.32 / $144.71	Professional		$47.38	$54.32	$144.71
United Facility/Professional Facility Modifier Low / Median / High Price $262.31 / $262.31 / $291.31	Facility		$262.31	$262.31	$291.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $17.89 / $34.00	Professional		$12.68	$17.89	$34.00