Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $109.65	Professional		$77.62	$77.62	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Facility		$74.13	$74.13	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $204.17	Professional		$128.82	$128.82	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $162.18 / $229.09	Facility		$83.18	$162.18	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $125.89	Professional		$77.62	$89.13	$125.89