Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $416.87	Professional		$204.17	$204.17	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,202.26 / $1,202.26	Professional		$158.49	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Facility		$194.98	$194.98	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $263.03	Professional		$204.17	$204.17	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $933.25	Professional		$102.33	$128.82	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $1,000.00	Professional		$186.21	$186.21	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $512.86 / $724.44	Facility		$281.84	$512.86	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $1,071.52	Professional		$125.89	$263.03	$1,071.52