Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $113.90 / $225.29	Facility		$104.30	$113.90	$225.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $104.30 / $104.30	Professional		$104.30	$104.30	$104.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $38.63 / $39.52	Professional		$37.94	$38.63	$39.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $122.70 / $194.78	Facility		$2.58	$122.70	$194.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $122.70 / $122.70	Professional		$119.02	$122.70	$122.70