Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Facility		$131.83	$131.83	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $204.17	Professional		$100.00	$131.83	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $660.69	Facility		$302.00	$416.87	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $281.84	Professional		$134.90	$186.21	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $933.25 / $1,621.81	Facility		$117.49	$933.25	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $354.81	Professional		$120.23	$204.17	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $812.83 / $812.83	Professional		$190.55	$812.83	$812.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $134.90	Professional		$117.49	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $316.23	Professional		$151.36	$208.93	$316.23