Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $575.44	Facility		$354.81	$354.81	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $575.44	Professional		$223.87	$354.81	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $6,456.54	Facility		$1,905.46	$3,801.89	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $676.08	Professional		$398.11	$398.11	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $575.44	Professional		$398.11	$549.54	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $575.44 / $954.99	Facility		$229.09	$575.44	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $1,905.46	Facility		$676.08	$691.83	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $724.44	Professional		$676.08	$676.08	$724.44