Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $150.60	Professional		$125.50	$125.50	$150.60
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 $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $108.49 / $134.41	Professional		$32.00	$108.49	$134.41
United Facility/Professional Facility Modifier Low / Median / High Price $228.61 / $228.61 / $228.61	Facility		$228.61	$228.61	$228.61
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $181.35	Professional		$147.65	$147.65	$181.35