Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $111.50 / $154.97	Facility		$68.43	$111.50	$154.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $76.84 / $186.03	Professional		$66.97	$76.84	$186.03
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 $69.98 / $97.98 / $177.49	Professional		$69.98	$97.98	$177.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $123.32 / $182.80	Professional		$86.60	$123.32	$182.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $90.78 / $212.60	Professional		$69.83	$90.78	$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 $75.06 / $108.71 / $173.50	Professional		$75.06	$108.71	$173.50