Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $12,022.64	Facility		$380.19	$380.19	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $501.19	Professional		$380.19	$380.19	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $2,089.30	Facility		$380.19	$630.96	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $380.19	Professional		$354.81	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Facility		$363.08	$363.08	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $426.58	Professional		$218.78	$218.78	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $724.44 / $1,023.29	Facility		$371.54	$724.44	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $489.78	Professional		$380.19	$407.38	$489.78