Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $377.35 / $750.35	Facility		$329.05	$377.35	$750.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $345.50 / $345.50	Professional		$329.05	$345.50	$345.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $694.30 / $1,118.77	Facility		$329.05	$694.30	$1,118.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $435.68 / $495.78 / $748.17	Professional		$435.68	$495.78	$748.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.43 / $310.43 / $329.05	Facility		$310.43	$310.43	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $375.02 / $394.86	Professional		$279.69	$375.02	$394.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $526.20	Facility		$329.05	$329.05	$526.20
United Facility/Professional Facility Modifier Low / Median / High Price $318.85 / $318.85 / $318.85	Facility		$318.85	$318.85	$318.85
United Facility/Professional Professional Modifier Low / Median / High Price $319.18 / $329.05 / $375.02	Professional		$319.18	$329.05	$375.02