Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $575.44	Professional		$112.20	$112.20	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,047.13 / $1,047.13	Professional		$112.20	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $112.20	Facility		$107.15	$107.15	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Professional		$112.20	$112.20	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $257.04	Professional		$128.82	$128.82	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $489.78	Facility		$186.21	$346.74	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $831.76	Professional		$125.89	$177.83	$831.76