Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $602.56 / $954.99	Facility		$173.78	$602.56	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $165.96	Professional		$114.82	$138.04	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $501.19 / $831.76	Facility		$223.87	$501.19	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $302.00	Professional		$72.44	$72.44	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $112.20 / $524.81	Facility		$91.20	$112.20	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $251.19	Professional		$199.53	$208.93	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $128.82	Professional		$72.44	$72.44	$128.82