Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Facility		$162.18	$162.18	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $316.23	Professional		$141.25	$194.98	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $588.84 / $933.25	Facility		$426.58	$588.84	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $389.05	Professional		$199.53	$275.42	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,258.93 / $2,187.76	Facility		$125.89	$1,258.93	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $446.68	Professional		$162.18	$269.15	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $891.25 / $891.25	Professional		$269.15	$891.25	$891.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $204.17	Professional		$177.83	$190.55	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $489.78	Professional		$158.49	$288.40	$489.78