Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $154.88	Facility		$81.28	$104.71	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $218.78	Professional		$79.43	$114.82	$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 $89.13 / $117.49 / $181.97	Professional		$89.13	$117.49	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $323.59	Facility		$102.33	$141.25	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $223.87	Professional		$95.50	$138.04	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $407.38	Professional		$72.44	$141.25	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $141.25	Professional		$72.44	$125.89	$141.25
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 $91.20 / $138.04 / $245.47	Professional		$91.20	$138.04	$245.47