Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $870.96 / $1,380.38	Facility		$245.47	$870.96	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $239.88	Professional		$162.18	$194.98	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $707.95 / $1,202.26	Facility		$309.03	$707.95	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $181.97	Professional		$56.23	$104.71	$181.97
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 $169.82 / $281.84 / $354.81	Professional		$169.82	$281.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $181.97	Professional		$104.71	$104.71	$181.97