Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $38.86	Professional		$10.58	$10.58	$38.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $164.82 / $390.00	Facility		$122.31	$164.82	$390.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $150.00 / $156.06	Professional		$112.50	$150.00	$156.06
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 $204.44 / $204.44 / $255.55	Professional		$204.44	$204.44	$255.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $1,285.00 / $1,285.00	Professional		$505.00	$1,285.00	$1,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $18.78 / $425.00	Professional		$18.78	$18.78	$425.00