Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $478.63	Facility		$93.33	$128.82	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $151.36	Professional		$93.33	$114.82	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $154.88 / $186.21	Facility		$11.75	$154.88	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $223.87	Professional		$5.89	$5.89	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $316.23 / $436.52	Facility		$223.87	$316.23	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $794.33	Professional		$114.82	$114.82	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $1,122.02	Professional		$128.82	$162.18	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $141.25	Facility		$128.82	$128.82	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $194.98	Professional		$60.26	$85.11	$194.98