Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $162.18	Facility		$138.04	$144.54	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $186.21	Professional		$138.04	$138.04	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $478.63	Facility		$138.04	$162.18	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $186.21	Professional		$138.04	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Facility		$128.82	$128.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $151.36 / $169.82	Professional		$8.51	$151.36	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $281.84 / $398.11	Facility		$144.54	$281.84	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $239.88	Professional		$138.04	$194.98	$239.88