Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $186.21 / $323.59	Facility		$67.61	$186.21	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $194.98	Professional		$57.54	$79.43	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $181.97 / $218.78	Facility		$81.28	$181.97	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $199.53	Professional		$87.10	$131.83	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $269.15	Facility		$100.00	$162.18	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $263.03	Professional		$89.13	$158.49	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $338.84	Professional		$109.65	$173.78	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,288.25 / $1,288.25	Facility		$151.36	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $229.09	Professional		$79.43	$120.23	$229.09