Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $47.09 / $93.62	Facility		$41.11	$47.09	$93.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $43.17 / $43.17	Professional		$41.11	$43.17	$43.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $86.74 / $139.77	Facility		$41.11	$86.74	$139.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $69.38 / $104.70	Professional		$60.97	$69.38	$104.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $38.78 / $41.11	Facility		$38.78	$38.78	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $49.33 / $53.93	Professional		$34.94	$49.33	$53.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $41.11 / $72.02	Facility		$24.15	$41.11	$72.02
United Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $41.11 / $51.59	Professional		$39.88	$41.11	$51.59