Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $435.92 / $866.81	Facility		$381.36	$435.92	$866.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $400.43 / $400.43	Professional		$381.36	$400.43	$400.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $804.67 / $1,296.61	Facility		$381.36	$804.67	$1,296.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $505.43 / $575.14 / $867.94	Professional		$505.43	$575.14	$867.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $359.77 / $381.36	Facility		$359.77	$359.77	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.16 / $451.50 / $457.63	Professional		$324.16	$451.50	$457.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $389.83 / $620.90	Facility		$381.36	$389.83	$620.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $411.00 / $411.00	Professional		$411.00	$411.00	$411.00
United Facility/Professional Facility Modifier Low / Median / High Price $374.36 / $617.69 / $992.05	Facility		$374.36	$617.69	$992.05
United Facility/Professional Professional Modifier Low / Median / High Price $375.20 / $381.36 / $451.50	Professional		$375.20	$381.36	$451.50