Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.08 / $386.66 / $764.81	Facility		$354.08	$386.66	$764.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $354.08 / $354.08	Professional		$354.08	$354.08	$354.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $776.40 / $1,251.06	Facility		$367.96	$776.40	$1,251.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Facility		$367.96	$367.96	$367.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $225.17 / $230.38	Professional		$221.16	$225.17	$230.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.33 / $433.33 / $661.22	Facility		$240.33	$433.33	$661.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $316.00 / $316.00	Professional		$316.00	$316.00	$316.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.77 / $357.54 / $416.56	Professional		$351.77	$357.54	$416.56