Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $93.33	Professional		$79.43	$79.43	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $724.44 / $870.96	Facility		$234.42	$724.44	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $309.03	Professional		$245.47	$309.03	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $724.44	Facility		$263.03	$512.86	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $346.74	Professional		$194.98	$194.98	$346.74