Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $415.00 / $415.00	Facility		$415.00	$415.00	$415.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $415.00 / $439.90	Professional		$400.00	$415.00	$439.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.82 / $456.85 / $482.23	Professional		$412.82	$456.85	$482.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $566.12 / $1,132.24	Professional		$456.96	$566.12	$1,132.24
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $540.00	Professional		$500.00	$500.00	$540.00