Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $691.00 / $1,354.00	Facility		$275.00	$691.00	$1,354.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.00 / $275.00	Professional		$171.00	$275.00	$275.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.70 / $536.40 / $1,017.57	Facility		$377.70	$536.40	$1,017.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $350.28 / $575.37	Professional		$248.00	$350.28	$575.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $289.08 / $709.00	Facility		$223.70	$289.08	$709.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $360.00 / $500.00	Professional		$225.00	$360.00	$500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $280.22 / $495.77	Professional		$215.55	$280.22	$495.77
United Facility/Professional Professional Modifier Low / Median / High Price $338.56 / $469.24 / $823.41	Professional		$338.56	$469.24	$823.41