Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,659.59 / $4,677.35	Facility		$389.05	$1,659.59	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $446.68	Professional		$389.05	$389.05	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $630.96 / $2,137.96	Facility		$389.05	$630.96	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $389.05 / $389.05	Professional		$72.44	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Facility		$371.54	$371.54	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $426.58	Professional		$109.65	$109.65	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $741.31 / $1,047.13	Facility		$380.19	$741.31	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $489.78	Professional		$389.05	$389.05	$489.78