Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $123.71 / $168.84	Facility		$75.31	$123.71	$168.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $84.55 / $204.80	Professional		$73.69	$84.55	$204.80
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 $76.62 / $108.12 / $187.86	Professional		$76.62	$108.12	$187.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $135.77 / $201.43	Professional		$95.91	$135.77	$201.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $99.61 / $212.60	Professional		$76.62	$99.61	$212.60
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $122.99 / $183.25	Professional		$84.20	$122.99	$183.25