Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $194.98	Facility		$46.77	$81.28	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $107.15	Professional		$38.02	$52.48	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $77.62	Facility		$38.02	$64.57	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $53.70 / $100.00	Professional		$23.44	$53.70	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $177.83	Facility		$57.54	$95.50	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $151.36	Professional		$26.92	$60.26	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $457.09	Professional		$52.48	$81.28	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $58.88	Facility		$36.31	$52.48	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $91.20	Professional		$24.55	$35.48	$91.20