Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $117.49	Facility		$77.62	$77.62	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $426.58	Facility		$77.62	$125.89	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Facility		$72.44	$72.44	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $302.00 / $501.19	Professional		$58.88	$302.00	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $213.80	Facility		$77.62	$151.36	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $97.72	Professional		$77.62	$77.62	$97.72