Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $363.08	Facility		$70.79	$95.50	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $112.20	Professional		$70.79	$85.11	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $138.04 / $281.84	Facility		$107.15	$138.04	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $134.90	Professional		$112.20	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $323.59	Facility		$169.82	$234.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $602.56	Professional		$63.10	$63.10	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $831.76	Professional		$95.50	$138.04	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $229.09	Professional		$104.71	$125.89	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $107.15	Facility		$95.50	$95.50	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $147.91	Professional		$44.67	$64.57	$147.91