Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $144.82 / $144.82	Facility		$137.93	$144.82	$144.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $144.82	Professional		$137.93	$137.93	$144.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $184.88	Professional		$137.93	$137.93	$184.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $280.33	Professional		$221.00	$221.00	$280.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.12 / $130.12 / $137.93	Facility		$130.12	$130.12	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $137.93 / $274.54	Professional		$117.24	$137.93	$274.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $144.82 / $233.10	Facility		$137.93	$144.82	$233.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $279.02 / $283.00	Professional		$190.00	$279.02	$283.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $154.47	Professional		$137.93	$137.93	$154.47