Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Facility		$446.68	$446.68	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,380.38	Professional		$446.68	$446.68	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,862.09	Professional		$1,096.48	$1,096.48	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $758.58	Professional		$446.68	$446.68	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $446.68	Facility		$426.58	$426.58	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $1,412.54	Professional		$120.23	$173.78	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $467.74 / $1,380.38	Facility		$446.68	$467.74	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $446.68 / $1,318.26	Professional		$109.65	$446.68	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $1,148.15	Professional		$125.89	$478.63	$1,148.15