Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $134.37 / $267.19	Facility		$117.36	$134.37	$267.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $123.23 / $123.23	Professional		$117.36	$123.23	$123.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $247.63 / $399.02	Facility		$117.36	$247.63	$399.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.58 / $174.77 / $263.74	Professional		$153.58	$174.77	$263.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $117.36	Facility		$110.72	$110.72	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $136.94 / $140.83	Professional		$99.76	$136.94	$140.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $187.68	Facility		$117.36	$117.36	$187.68
United Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $117.36 / $136.94	Professional		$115.46	$117.36	$136.94