Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $131.83	Facility		$114.82	$117.49	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $138.04	Professional		$112.20	$114.82	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $645.65	Facility		$117.49	$199.53	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $134.90	Professional		$117.49	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $120.23 / $120.23	Facility		$114.82	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $120.23	Professional		$91.20	$114.82	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $269.15 / $269.15	Facility		$117.49	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $141.25	Professional		$117.49	$120.23	$141.25