Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $204.17 / $407.38	Facility		$57.54	$204.17	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $138.04	Professional		$40.74	$57.54	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $302.00	Facility		$138.04	$190.55	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $109.65	Professional		$50.12	$72.44	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $354.81	Facility		$104.71	$173.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $112.20	Professional		$36.31	$57.54	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $208.93	Professional		$87.10	$95.50	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $83.18	Professional		$52.48	$60.26	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $114.82	Professional		$33.88	$66.07	$114.82