Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $549.54 / $549.54	Facility		$56.23	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $104.71	Professional		$32.36	$57.54	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $208.93 / $389.05	Facility		$123.03	$208.93	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Professional		$66.07	$66.07	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $158.49	Facility		$69.18	$97.72	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $107.15 / $234.42	Professional		$51.29	$107.15	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $549.54	Professional		$218.78	$263.03	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $218.78 / $218.78	Facility		$79.43	$218.78	$218.78