Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $230.47 / $360.23	Facility		$129.47	$230.47	$360.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $135.94 / $253.78	Professional		$129.47	$135.94	$253.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $273.20 / $440.23	Facility		$129.47	$273.20	$440.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $198.30 / $299.25	Professional		$174.26	$198.30	$299.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $122.15 / $129.47	Facility		$122.15	$122.15	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $147.18 / $155.38	Professional		$110.06	$147.18	$155.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $207.05	Facility		$129.47	$129.47	$207.05
United Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $129.47 / $147.18	Professional		$127.39	$129.47	$147.18