Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $125.89 / $128.82	Facility		$123.03	$125.89	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Facility		$0.02	$0.02	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $134.90	Professional		$107.15	$134.90	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $109.65 / $134.90	Professional		$32.36	$109.65	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $162.18 / $229.09	Facility		$89.13	$162.18	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $257.04	Professional		$147.91	$147.91	$257.04