Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $54.71 / $108.22	Facility		$50.10	$54.71	$108.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $50.10 / $50.10	Professional		$47.15	$50.10	$50.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $107.78 / $170.27	Facility		$52.07	$107.78	$170.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $69.79	Professional		$52.07	$52.07	$69.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $70.00	Facility		$52.07	$52.07	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $112.00 / $112.00	Professional		$103.00	$112.00	$112.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $54.71 / $84.67	Facility		$49.95	$54.71	$84.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $70.00 / $94.00	Professional		$51.09	$70.00	$94.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $62.48 / $66.01	Professional		$58.94	$62.48	$66.01