Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $158.49	Facility		$104.71	$104.71	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $141.25	Professional		$104.71	$104.71	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $575.44	Facility		$104.71	$169.82	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $104.71	Professional		$102.33	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $104.71	Facility		$97.72	$97.72	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $407.38	Professional		$21.88	$21.88	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $1,348.96	Facility		$489.78	$954.99	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $524.81	Professional		$104.71	$104.71	$524.81