Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $281.84 / $1,380.38	Facility		$63.10	$281.84	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $89.13 / $218.78	Professional		$40.74	$89.13	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $8,511.38	Facility		$2,454.71	$3,467.37	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $95.50	Professional		$46.77	$60.26	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $234.42	Facility		$70.79	$74.13	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $154.88	Professional		$53.70	$95.50	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $100.00 / $354.81	Professional		$37.15	$100.00	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $85.11 / $100.00	Professional		$37.15	$85.11	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,691.53	Facility		$676.08	$1,479.11	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $158.49	Professional		$54.95	$93.33	$158.49