Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $102.79	Professional		$80.00	$80.00	$102.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.26 / $225.00 / $585.00	Facility		$131.26	$225.00	$585.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $225.00 / $225.00	Professional		$141.75	$225.00	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $236.25 / $357.74	Facility		$62.26	$236.25	$357.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $784.00 / $1,086.00	Professional		$784.00	$784.00	$1,086.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $18.78 / $18.78	Professional		$18.78	$18.78	$18.78