Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $566.91 / $1,127.30	Facility		$495.55	$566.91	$1,127.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $520.32 / $520.32	Professional		$495.55	$520.32	$520.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $1,045.60 / $1,684.87	Facility		$495.55	$1,045.60	$1,684.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $661.85 / $753.14 / $1,136.56	Professional		$661.85	$753.14	$1,136.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $467.50 / $495.55	Facility		$467.50	$467.50	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.22 / $560.99 / $594.66	Professional		$421.22	$560.99	$594.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $495.55 / $792.45	Facility		$495.55	$495.55	$792.45
United Facility/Professional Professional Modifier Low / Median / High Price $480.68 / $495.55 / $621.91	Professional		$480.68	$495.55	$621.91