Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $616.60	Facility		$269.15	$316.23	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $281.84	Professional		$275.42	$275.42	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $812.83 / $1,096.48	Professional		$275.42	$812.83	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $457.09	Professional		$263.03	$323.59	$457.09