Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.05 / $203.05 / $203.05	Facility		$203.05	$203.05	$203.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $191.37 / $213.90	Professional		$161.84	$191.37	$213.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.50 / $558.63 / $659.67	Facility		$257.50	$558.63	$659.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $209.43 / $316.38	Professional		$168.78	$209.43	$316.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.55 / $215.68 / $983.52	Professional		$187.55	$215.68	$983.52
United Facility/Professional Professional Modifier Low / Median / High Price $203.44 / $272.13 / $476.35	Professional		$203.44	$272.13	$476.35