Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $235.14 / $504.07	Facility		$95.07	$235.14	$504.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $235.14 / $504.07	Professional		$79.20	$235.14	$504.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $109.63 / $470.73	Professional		$56.16	$109.63	$470.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $76.73 / $651.49	Professional		$63.91	$76.73	$651.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $119.63 / $349.89	Professional		$54.38	$119.63	$349.89