Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $154.88	Facility		$134.90	$134.90	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $162.18	Professional		$128.82	$134.90	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.05	Facility		$0.02	$0.05	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $316.23 / $316.23	Professional		$138.04	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $295.12	Facility		$112.20	$208.93	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $354.81	Professional		$331.13	$331.13	$354.81