Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $82.08 / $82.08	Facility		$78.17	$82.08	$82.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $82.08	Professional		$78.17	$78.17	$82.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $104.34	Professional		$78.17	$78.17	$104.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $80.19 / $108.07	Professional		$80.19	$80.19	$108.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $73.73 / $78.17	Facility		$73.73	$73.73	$78.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $78.17	Professional		$78.17	$78.17	$78.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $78.17 / $101.62	Professional		$66.44	$78.17	$101.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $81.30 / $125.72	Facility		$78.17	$81.30	$125.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $130.03 / $186.38	Professional		$88.00	$130.03	$186.38
United Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $82.93	Professional		$78.17	$78.17	$82.93