Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,047.13 / $1,698.24	Facility		$302.00	$1,047.13	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $302.00	Professional		$181.97	$245.47	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $870.96 / $1,445.44	Facility		$389.05	$870.96	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $302.00	Professional		$125.89	$125.89	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $912.01	Facility		$162.18	$194.98	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $436.52	Professional		$371.54	$371.54	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $302.00	Professional		$208.93	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $181.97	Professional		$125.89	$125.89	$181.97