Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.00 / $639.00 / $1,256.00	Facility		$433.00	$639.00	$1,256.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.16 / $375.00 / $926.59	Professional		$294.16	$375.00	$926.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $539.00 / $650.50	Facility		$450.00	$539.00	$650.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $370.00 / $370.00	Professional		$370.00	$370.00	$370.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Professional		$329.00	$329.00	$329.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,463.63 / $1,463.63 / $1,463.63	Facility		$1,463.63	$1,463.63	$1,463.63