Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $139.38 / $275.72	Facility		$127.65	$139.38	$275.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $127.65 / $127.65	Professional		$127.65	$127.65	$127.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $86.21 / $88.20	Professional		$84.67	$86.21	$88.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.02 / $129.66 / $194.41	Facility		$72.02	$129.66	$194.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Professional		$77.00	$77.00	$77.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.13 / $125.15 / $157.06	Professional		$123.13	$125.15	$157.06