Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $288.40	Facility		$165.96	$208.93	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $309.03	Professional		$173.78	$213.80	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $389.05	Professional		$128.82	$208.93	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $489.78	Professional		$154.88	$263.03	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $794.33	Professional		$223.87	$288.40	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $407.38	Professional		$109.65	$208.93	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $489.78	Professional		$165.96	$234.42	$489.78