Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $489.78 / $776.25	Facility		$181.97	$489.78	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $288.40	Professional		$162.18	$223.87	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $354.81 / $478.63	Facility		$229.09	$354.81	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $275.42	Professional		$229.09	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $831.76	Facility		$426.58	$602.56	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $389.05	Professional		$245.47	$302.00	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $588.84	Professional		$275.42	$371.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $275.42	Facility		$245.47	$245.47	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $380.19	Professional		$114.82	$165.96	$380.19