Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $363.08 / $446.68	Facility		$26.92	$363.08	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $562.34	Professional		$30.20	$47.86	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $275.42	Professional		$158.49	$199.53	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $562.34	Professional		$223.87	$363.08	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $660.69	Professional		$190.55	$407.38	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $190.55	Professional		$25.12	$27.54	$190.55