Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $217.57 / $432.63	Facility		$193.76	$217.57	$432.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $203.45 / $203.45	Professional		$193.76	$203.45	$203.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $408.83 / $658.78	Facility		$193.76	$408.83	$658.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $249.86 / $284.33 / $429.08	Professional		$249.86	$284.33	$429.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $182.79 / $193.76	Facility		$182.79	$182.79	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $223.51 / $232.51	Professional		$164.70	$223.51	$232.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $309.85	Facility		$193.76	$193.76	$309.85
United Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $193.76 / $223.51	Professional		$187.95	$193.76	$223.51