Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $195.89	Professional		$163.24	$163.24	$195.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Professional		$176.00	$176.00	$176.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $132.75 / $199.13	Professional		$1.07	$132.75	$199.13
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $192.05 / $206.23	Professional		$164.98	$192.05	$206.23