Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $195.18 / $195.18	Facility		$195.18	$195.18	$195.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $195.18 / $195.18	Professional		$121.00	$195.18	$195.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.26 / $350.00 / $910.00	Facility		$131.26	$350.00	$910.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $350.00 / $350.00	Professional		$220.50	$350.00	$350.00
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 $118.94 / $118.94 / $148.68	Professional		$118.94	$118.94	$148.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $783.00 / $1,318.00	Professional		$783.00	$783.00	$1,318.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $18.78 / $237.60	Professional		$18.78	$18.78	$237.60