Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.85 / $265.39 / $331.21	Facility		$148.85	$265.39	$331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $191.85 / $327.81	Professional		$145.81	$191.85	$327.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.74 / $155.72 / $613.50	Facility		$101.74	$155.72	$613.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $120.90 / $481.15	Professional		$120.90	$120.90	$481.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.13 / $190.76 / $338.18	Facility		$119.13	$190.76	$338.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $167.08 / $692.52	Professional		$111.70	$167.08	$692.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $391.78 / $1,748.19	Professional		$223.39	$391.78	$1,748.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $192.57 / $384.35	Professional		$107.88	$192.57	$384.35
United Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $737.36 / $737.36	Facility		$46.82	$737.36	$737.36
United Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $261.60 / $510.46	Professional		$139.26	$261.60	$510.46