Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $309.03 / $489.78	Facility		$114.82	$309.03	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $165.96	Professional		$114.82	$134.90	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $602.56	Facility		$173.78	$218.78	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $302.00	Professional		$138.04	$173.78	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $524.81	Facility		$269.15	$380.19	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $263.03	Professional		$199.53	$208.93	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $223.87	Professional		$190.55	$199.53	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $173.78	Facility		$95.50	$154.88	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $251.19	Professional		$72.44	$104.71	$251.19