Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $123.86 / $133.77	Facility		$119.00	$123.86	$133.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.58 / $123.86 / $143.38	Professional		$115.58	$123.86	$143.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $143.38 / $283.20	Professional		$135.84	$143.38	$283.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $376.46 / $645.83	Professional		$168.33	$376.46	$645.83
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $345.17	Professional		$259.31	$259.31	$345.17