Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Facility		$132.88	$132.88	$132.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $204.40	Professional		$132.88	$132.88	$204.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $150.00 / $390.00	Facility		$43.79	$150.00	$390.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $150.00 / $150.00	Professional		$94.50	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $81.48 / $143.25	Facility		$41.95	$81.48	$143.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $665.00	Professional		$480.00	$480.00	$665.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $18.78 / $18.78	Professional		$18.78	$18.78	$18.78