Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $812.83	Facility		$162.18	$257.04	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $331.13	Professional		$120.23	$162.18	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $407.38	Facility		$154.88	$302.00	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $309.03	Professional		$117.49	$194.98	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $338.84	Facility		$173.78	$245.47	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $371.54	Professional		$147.91	$223.87	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $331.13	Professional		$147.91	$234.42	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $977.24 / $977.24	Facility		$128.82	$977.24	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $363.08	Professional		$123.03	$199.53	$363.08