Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $457.09	Facility		$109.65	$275.42	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $173.78	Professional		$109.65	$141.25	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $295.12	Facility		$123.03	$204.17	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $323.59	Professional		$81.28	$81.28	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $501.19	Facility		$257.04	$363.08	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $933.25	Professional		$107.15	$107.15	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $1,288.25	Professional		$147.91	$213.80	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $346.74	Professional		$158.49	$190.55	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $181.97	Facility		$123.03	$147.91	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $229.09	Professional		$69.18	$102.33	$229.09