Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $28.18	Professional		$26.92	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $208.93	Facility		$112.20	$112.20	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $162.18	Professional		$100.00	$112.20	$162.18