Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $78.59 / $155.47	Facility		$71.98	$78.59	$155.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Professional		$71.98	$71.98	$71.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $127.13 / $204.85	Facility		$60.25	$127.13	$204.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
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 $41.64 / $42.40 / $43.38	Professional		$41.64	$42.40	$43.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $84.68 / $109.63	Facility		$41.18	$84.68	$109.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $70.56 / $84.68	Professional		$69.43	$70.56	$84.68