Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $128.82	Professional		$74.13	$100.00	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $275.42	Professional		$100.00	$123.03	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $190.55	Professional		$60.26	$60.26	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $302.00	Professional		$114.82	$151.36	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $239.88	Professional		$162.18	$199.53	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $107.15	Professional		$48.98	$70.79	$107.15