Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $575.44 / $912.01	Facility		$165.96	$575.44	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $173.78	Professional		$109.65	$131.83	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $478.63 / $794.33	Facility		$204.17	$478.63	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $162.18	Professional		$69.18	$69.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $107.15 / $501.19	Facility		$87.10	$107.15	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Professional		$199.53	$199.53	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $234.42	Professional		$229.09	$229.09	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $162.18	Professional		$114.82	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $97.72	Professional		$69.18	$85.11	$97.72