Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $275.42 / $645.65	Facility		$107.15	$275.42	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $275.42	Professional		$91.20	$128.82	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $263.03 / $354.81	Facility		$134.90	$263.03	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $263.03	Professional		$128.82	$177.83	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $302.00	Facility		$158.49	$218.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $380.19	Professional		$134.90	$239.88	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $380.19	Professional		$141.25	$223.87	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $977.24 / $977.24	Facility		$165.96	$977.24	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $316.23	Professional		$123.03	$173.78	$316.23