Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $954.99 / $1,548.82	Facility		$275.42	$954.99	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $275.42	Professional		$162.18	$223.87	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $794.33 / $1,318.26	Facility		$354.81	$794.33	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $275.42	Professional		$114.82	$114.82	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $177.83 / $831.76	Facility		$147.91	$177.83	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $398.11	Professional		$331.13	$338.84	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $275.42	Professional		$190.55	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $165.96	Professional		$114.82	$114.82	$165.96