Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Facility		$225.00	$225.00	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $225.00 / $750.00	Professional		$159.00	$225.00	$750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.26 / $500.00 / $1,300.00	Facility		$131.26	$500.00	$1,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $500.00 / $500.00	Professional		$315.00	$500.00	$500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $236.25 / $357.74	Facility		$62.26	$236.25	$357.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $104.49 / $130.61	Professional		$104.49	$104.49	$130.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $563.00 / $1,538.00	Professional		$563.00	$563.00	$1,538.00
United Facility/Professional Facility Modifier Low / Median / High Price $129.15 / $129.15 / $129.15	Facility		$129.15	$129.15	$129.15
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $326.60 / $360.00	Professional		$18.78	$326.60	$360.00