Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Professional		$91.20	$91.20	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $199.53	Professional		$151.36	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Facility		$87.10	$87.10	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $104.71	Professional		$91.20	$91.20	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $204.17	Professional		$102.33	$128.82	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $134.90 / $190.55	Facility		$72.44	$134.90	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $190.55	Professional		$69.18	$125.89	$190.55