Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $501.19	Facility		$100.00	$134.90	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $158.49	Professional		$100.00	$120.23	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $190.55	Facility		$91.20	$154.88	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $69.18	Professional		$60.26	$60.26	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $457.09	Facility		$234.42	$331.13	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $851.14	Professional		$87.10	$87.10	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $1,174.90	Professional		$151.36	$173.78	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $275.42	Professional		$151.36	$199.53	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $204.17	Professional		$63.10	$89.13	$204.17