Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.99 / $2,987.00 / $6,915.00	Facility		$125.99	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $152.36 / $212.55	Professional		$72.39	$152.36	$212.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $160.16 / $302.72	Professional		$88.97	$160.16	$302.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.43 / $134.43 / $134.43	Facility		$134.43	$134.43	$134.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $167.00 / $333.59	Professional		$94.67	$167.00	$333.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $168.00 / $246.09	Professional		$80.29	$168.00	$246.09
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 $129.10 / $196.13 / $363.04	Professional		$129.10	$196.13	$363.04