Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.58 / $490.94 / $971.09	Facility		$449.58	$490.94	$971.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $449.58 / $449.58	Professional		$449.58	$449.58	$449.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $900.80 / $1,451.53	Facility		$426.92	$900.80	$1,451.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.39 / $348.58 / $356.65	Professional		$342.39	$348.58	$356.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.67 / $528.91 / $684.71	Facility		$254.67	$528.91	$684.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $303.00 / $303.00	Professional		$303.00	$303.00	$303.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $560.66 / $624.13	Professional		$528.91	$560.66	$624.13