Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.42 / $307.42 / $307.42	Facility		$307.42	$307.42	$307.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $307.42 / $333.47	Professional		$218.77	$307.42	$333.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $400.00 / $1,040.00	Facility		$43.79	$400.00	$1,040.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $400.00 / $400.00	Professional		$252.00	$400.00	$400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $82.48 / $236.25	Facility		$58.00	$82.48	$236.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $317.50	Professional		$254.00	$254.00	$317.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $1,154.00 / $1,154.00	Professional		$505.00	$1,154.00	$1,154.00
United Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $45.68 / $45.68	Facility		$45.68	$45.68	$45.68
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $326.60 / $365.00	Professional		$18.78	$326.60	$365.00