Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $70.28 / $70.28	Facility		$70.28	$70.28	$70.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $70.28 / $70.28	Professional		$67.73	$70.28	$70.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $105.98 / $221.12	Facility		$60.25	$105.98	$221.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $80.45 / $80.48	Professional		$60.25	$80.45	$80.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Facility		$60.25	$60.25	$60.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $47.44 / $71.98	Professional		$47.44	$47.44	$71.98
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $83.66	Professional		$70.56	$70.56	$83.66