Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $870.96 / $1,380.38	Facility		$251.19	$870.96	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $234.42	Professional		$138.04	$199.53	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $724.44 / $1,202.26	Facility		$316.23	$724.44	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $251.19	Professional		$104.71	$104.71	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $162.18 / $758.58	Facility		$131.83	$162.18	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Professional		$302.00	$302.00	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Professional		$346.74	$346.74	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $251.19	Professional		$173.78	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91