Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $691.83 / $1,096.48	Facility		$199.53	$691.83	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $151.36	Professional		$100.00	$141.25	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $524.81 / $954.99	Facility		$251.19	$524.81	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $147.91	Professional		$63.10	$63.10	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $602.56	Facility		$107.15	$128.82	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $288.40	Professional		$239.88	$245.47	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $281.84	Professional		$275.42	$275.42	$281.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $199.53	Professional		$138.04	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $89.13	Professional		$63.10	$69.18	$89.13