Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.08 / $496.08 / $496.08	Facility		$496.08	$496.08	$496.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $194.22 / $198.90	Professional		$194.22	$194.22	$198.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $363.59 / $758.59	Facility		$206.70	$363.59	$758.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $206.70 / $222.30	Professional		$202.80	$206.70	$222.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $163.91 / $163.91	Professional		$163.91	$163.91	$163.91
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $241.02	Professional		$234.00	$234.00	$241.02