Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $100.01 / $1,665.00	Facility		$38.53	$100.01	$1,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $67.17 / $129.96	Professional		$39.38	$67.17	$129.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $78.48 / $139.63	Professional		$49.06	$78.48	$139.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $69.12 / $143.74	Professional		$41.52	$69.12	$143.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $86.65 / $115.45	Professional		$49.39	$86.65	$115.45
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $93.47 / $180.41	Professional		$60.42	$93.47	$180.41