Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $87.10	Facility		$75.86	$75.86	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $89.13	Professional		$75.86	$75.86	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $416.87	Facility		$75.86	$123.03	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Facility		$72.44	$72.44	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $245.47	Professional		$83.18	$147.91	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $218.78	Facility		$79.43	$154.88	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $100.00	Professional		$75.86	$75.86	$100.00