Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $447.83	Facility		$172.40	$172.40	$447.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $172.40 / $172.40	Professional		$156.19	$172.40	$172.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $363.38 / $585.54	Facility		$172.22	$363.38	$585.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $162.26 / $216.58	Professional		$162.26	$162.26	$216.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $162.32 / $414.64	Professional		$162.32	$162.32	$414.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $202.82 / $243.38	Professional		$172.40	$202.82	$243.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $202.82 / $313.14	Facility		$164.38	$202.82	$313.14
United Facility/Professional Facility Modifier Low / Median / High Price $642.42 / $642.42 / $642.42	Facility		$642.42	$642.42	$642.42
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $212.96	Professional		$202.82	$202.82	$212.96