Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $316.23	Facility		$204.17	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $457.09	Professional		$316.23	$316.23	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $131.83	Facility		$42.66	$85.11	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $77.62	Professional		$33.88	$42.66	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $83.18 / $144.54	Facility		$39.81	$83.18	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $3.09	Professional		$2.45	$2.45	$3.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,348.96	Professional		$1,000.00	$1,000.00	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $46.77 / $48.98	Facility		$21.38	$46.77	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $165.96 / $323.59	Professional		$18.62	$165.96	$323.59