Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $501.19 / $549.54	Facility		$87.10	$501.19	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $177.83	Professional		$63.10	$93.33	$177.83
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 $75.86 / $97.72 / $151.36	Professional		$75.86	$97.72	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $251.19	Facility		$79.43	$117.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $181.97	Professional		$79.43	$112.20	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $323.59	Professional		$60.26	$112.20	$323.59
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $112.20	Professional		$60.26	$100.00	$112.20
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 $77.62 / $112.20 / $199.53	Professional		$77.62	$112.20	$199.53