Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $660.69	Facility		$190.55	$223.87	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $173.78	Professional		$169.82	$169.82	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $288.40	Professional		$208.93	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $446.68	Facility		$162.18	$316.23	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $295.12	Professional		$169.82	$204.17	$295.12