Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.66 / $660.29 / $1,306.07	Facility		$604.66	$660.29	$1,306.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $604.66 / $604.66	Professional		$569.09	$604.66	$604.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $1,300.73 / $2,054.77	Facility		$628.37	$1,300.73	$2,054.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $843.77	Professional		$628.37	$628.37	$843.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $628.37 / $628.37	Facility		$471.24	$628.37	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $502.90 / $809.02	Professional		$402.32	$502.90	$809.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.40 / $622.44 / $967.46	Facility		$489.40	$622.44	$967.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $540.60 / $766.00 / $1,398.00	Professional		$540.60	$766.00	$1,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $628.37 / $681.72	Professional		$592.79	$628.37	$681.72