Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $316.23 / $575.44	Facility		$154.88	$316.23	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $354.81	Professional		$120.23	$162.18	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $223.87 / $323.59	Facility		$112.20	$223.87	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $398.11	Professional		$97.72	$213.80	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $281.84 / $524.81	Facility		$162.18	$281.84	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $501.19	Professional		$87.10	$234.42	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $1,348.96	Professional		$154.88	$245.47	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $371.54	Professional		$169.82	$204.17	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Facility		$154.88	$154.88	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $426.58	Professional		$104.71	$234.42	$426.58