Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $271.24 / $536.52	Facility		$253.36	$271.24	$536.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $253.36 / $253.36	Professional		$238.46	$253.36	$253.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.84 / $350.50 / $752.94	Facility		$255.84	$350.50	$752.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $317.81	Professional		$238.46	$238.46	$317.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.69 / $254.85 / $331.31	Professional		$240.69	$254.85	$331.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $298.07 / $385.87	Facility		$253.36	$298.07	$385.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $298.07 / $298.07 / $298.07	Professional		$298.07	$298.07	$298.07
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $278.20	Professional		$248.39	$248.39	$278.20