Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $835.12 / $1,575.20	Facility		$330.00	$835.12	$1,575.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $360.80 / $374.00	Professional		$330.00	$360.80	$374.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $440.00 / $2,162.60	Facility		$440.00	$440.00	$2,162.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $286.00	Professional		$176.00	$176.00	$286.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $686.40 / $2,213.77	Professional		$352.00	$686.40	$2,213.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $749.48 / $1,995.10	Facility		$286.00	$749.48	$1,995.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $266.99 / $726.01	Professional		$106.20	$266.99	$726.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $528.00 / $651.20	Professional		$440.00	$528.00	$651.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.51 / $452.10 / $684.42	Facility		$229.51	$452.10	$684.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $457.23 / $1,039.25	Professional		$219.00	$457.23	$1,039.25
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $193.60 / $286.00	Professional		$74.20	$193.60	$286.00