Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $575.44	Facility		$190.55	$281.84	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $331.13	Professional		$147.91	$199.53	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $426.58	Facility		$120.23	$154.88	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $457.09	Professional		$120.23	$234.42	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $363.08	Facility		$120.23	$199.53	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $676.08	Professional		$112.20	$162.18	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $1,737.80	Professional		$199.53	$331.13	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $407.38	Professional		$104.71	$208.93	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $630.96 / $741.31	Facility		$42.66	$630.96	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $501.19	Professional		$138.04	$245.47	$501.19