Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $691.83 / $1,122.02	Facility		$199.53	$691.83	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $194.98	Professional		$128.82	$151.36	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $575.44 / $954.99	Facility		$257.04	$575.44	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $199.53	Professional		$83.18	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $616.60	Facility		$107.15	$128.82	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $199.53	Professional		$141.25	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $120.23	Professional		$83.18	$83.18	$120.23