Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $123.03	Professional		$69.18	$93.33	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $120.23	Professional		$4.57	$4.57	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $186.21	Professional		$128.82	$128.82	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $239.88	Professional		$194.98	$194.98	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $398.11	Professional		$107.15	$141.25	$398.11