Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $134.90	Facility		$117.49	$117.49	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $141.25	Professional		$112.20	$117.49	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $128.82 / $645.65	Facility		$117.49	$128.82	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $177.83	Professional		$117.49	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $354.81 / $588.84	Professional		$85.11	$354.81	$588.84