Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $363.08	Facility		$138.04	$275.42	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $138.04	Professional		$128.82	$134.90	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $229.09	Professional		$138.04	$138.04	$229.09
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 $107.15 / $154.88 / $162.18	Professional		$107.15	$154.88	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Facility		$162.18	$162.18	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $346.74	Professional		$323.59	$331.13	$346.74