Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $53.70	Professional		$43.65	$52.48	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $190.55	Facility		$56.23	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $42.66 / $64.57	Facility		$26.30	$42.66	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $91.20	Facility		$56.23	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10