Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $154.88 / $257.04	Facility		$60.26	$154.88	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $97.72	Professional		$61.66	$79.43	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $165.96	Facility		$69.18	$112.20	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $181.97	Professional		$45.71	$45.71	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $281.84	Facility		$141.25	$199.53	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $512.86	Professional		$60.26	$60.26	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $707.95	Professional		$83.18	$120.23	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $194.98	Professional		$89.13	$107.15	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $102.33	Facility		$69.18	$83.18	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $125.89	Professional		$38.90	$56.23	$125.89