Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $150.84 / $298.36	Facility		$138.13	$150.84	$298.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $138.13 / $138.13	Professional		$138.13	$138.13	$138.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $154.99 / $158.57	Professional		$152.22	$154.99	$158.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $162.50 / $210.37	Facility		$162.50	$162.50	$210.37
United Facility/Professional Professional Modifier Low / Median / High Price $322.97 / $332.96 / $417.86	Professional		$322.97	$332.96	$417.86