Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $489.26 / $489.26	Facility		$489.26	$489.26	$489.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $489.26 / $489.26	Professional		$460.48	$489.26	$489.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.43 / $1,052.45 / $1,662.57	Facility		$508.43	$1,052.45	$1,662.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.35 / $503.35 / $698.95	Professional		$503.35	$503.35	$698.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $508.43	Professional		$508.43	$508.43	$508.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $508.43 / $508.43	Facility		$489.26	$508.43	$508.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $508.43	Professional		$508.43	$508.43	$508.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,668.92 / $1,668.92 / $1,668.92	Professional		$1,668.92	$1,668.92	$1,668.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $503.65 / $782.82	Facility		$489.26	$503.65	$782.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $503.65 / $698.00 / $994.00	Professional		$503.65	$698.00	$994.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $610.14 / $644.66	Professional		$575.60	$610.14	$644.66