Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $436.52	Facility		$104.71	$275.42	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $151.36	Professional		$93.33	$125.89	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $169.82 / $199.53	Facility		$26.30	$169.82	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $158.49 / $158.49	Professional		$13.18	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $346.74 / $478.63	Facility		$245.47	$346.74	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $218.78	Professional		$141.25	$173.78	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $158.49	Facility		$141.25	$141.25	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $213.80	Professional		$66.07	$93.33	$213.80