Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $131.83 / $131.83	Facility		$107.15	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $229.09	Professional		$131.83	$131.83	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $302.00 / $467.74	Facility		$64.57	$302.00	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $151.36	Professional		$112.20	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $83.18 / $144.54	Facility		$57.54	$83.18	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Professional		$616.60	$616.60	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $46.77 / $48.98	Facility		$30.90	$46.77	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62