Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $204.02 / $618.61	Facility		$108.10	$204.02	$618.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $108.10 / $324.14	Professional		$92.80	$108.10	$324.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.87 / $243.90 / $322.12	Facility		$137.87	$243.90	$322.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $170.03 / $289.89	Professional		$110.15	$170.03	$289.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $219.60 / $317.52	Facility		$157.02	$219.60	$317.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $241.00 / $379.74	Professional		$135.56	$241.00	$379.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $211.48 / $376.94	Professional		$132.66	$211.48	$376.94
United Facility/Professional Facility Modifier Low / Median / High Price $803.66 / $982.43 / $982.43	Facility		$803.66	$982.43	$982.43
United Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $181.08 / $316.22	Professional		$128.76	$181.08	$316.22