Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $1,862.09	Facility		$128.82	$316.23	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $316.23	Professional		$100.00	$131.83	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $169.82 / $234.42	Facility		$93.33	$169.82	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $288.40	Professional		$70.79	$154.88	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $436.52	Facility		$117.49	$234.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $194.98 / $436.52	Professional		$72.44	$194.98	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $1,122.02	Professional		$128.82	$204.17	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $309.03	Professional		$141.25	$169.82	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $154.88	Facility		$128.82	$128.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $338.84	Professional		$87.10	$169.82	$338.84