Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $128.82 / $257.04	Facility		$60.26	$128.82	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $75.86	Professional		$57.54	$60.26	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $234.42	Facility		$93.33	$123.03	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10