Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $192.46 / $769.95	Facility		$163.38	$192.46	$769.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $163.38 / $474.82	Professional		$116.59	$163.38	$474.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.18 / $277.14 / $399.06	Facility		$151.18	$277.14	$399.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $182.96 / $340.20	Professional		$115.82	$182.96	$340.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.67 / $245.70 / $367.70	Facility		$175.67	$245.70	$367.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $234.25 / $398.53	Professional		$133.74	$234.25	$398.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $223.29 / $333.16	Professional		$140.06	$223.29	$333.16
United Facility/Professional Facility Modifier Low / Median / High Price $828.29 / $982.43 / $982.43	Facility		$828.29	$982.43	$982.43
United Facility/Professional Professional Modifier Low / Median / High Price $128.81 / $208.84 / $357.71	Professional		$128.81	$208.84	$357.71