Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $54.95 / $83.18	Facility		$53.70	$54.95	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $72.44	Professional		$53.70	$54.95	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $302.00	Facility		$54.95	$89.13	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $54.95	Facility		$51.29	$51.29	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $74.13	Professional		$60.26	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $109.65 / $154.88	Facility		$56.23	$109.65	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $72.44	Professional		$54.95	$54.95	$72.44