Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $519.05 / $1,026.71	Facility		$475.33	$519.05	$1,026.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.97 / $1,042.28 / $1,679.50	Facility		$493.97	$1,042.28	$1,679.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $166.29 / $170.13	Professional		$163.33	$166.29	$170.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.27 / $559.21 / $750.23	Facility		$161.27	$559.21	$750.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $222.00 / $222.00	Professional		$222.00	$222.00	$222.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $452.03 / $466.01 / $559.21	Professional		$452.03	$466.01	$559.21