Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $954.99 / $1,258.93	Facility		$478.63	$954.99	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $562.34	Professional		$446.68	$478.63	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,000.00 / $1,698.24	Facility		$489.78	$1,000.00	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $794.33	Professional		$478.63	$478.63	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $173.78	Professional		$114.82	$165.96	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $562.34 / $758.58	Facility		$162.18	$562.34	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $7.08	Facility		$4.27	$4.27	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $562.34	Professional		$457.09	$467.74	$562.34