Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $416.87	Facility		$363.08	$363.08	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $426.58	Professional		$354.81	$363.08	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $398.11 / $1,995.26	Facility		$371.54	$398.11	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $436.52	Professional		$371.54	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $371.54	Professional		$25.12	$25.12	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $1,202.26	Facility		$467.74	$851.14	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $489.78	Professional		$371.54	$407.38	$489.78