Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $92.59 / $184.11	Facility		$80.91	$92.59	$184.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $84.96 / $84.96	Professional		$80.91	$84.96	$84.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $170.72 / $275.08	Facility		$80.91	$170.72	$275.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $120.80 / $182.29	Professional		$106.15	$120.80	$182.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $76.33 / $80.91	Facility		$76.33	$76.33	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $93.48 / $97.09	Professional		$68.77	$93.48	$97.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $129.38	Facility		$80.91	$80.91	$129.38
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $80.91 / $93.48	Professional		$78.48	$80.91	$93.48