Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Facility		$162.18	$162.18	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $331.13	Professional		$147.91	$208.93	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $1,000.00	Facility		$457.09	$616.60	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $407.38	Professional		$213.80	$288.40	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $933.25 / $1,621.81	Facility		$125.89	$933.25	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $478.63	Professional		$173.78	$288.40	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $630.96 / $630.96	Professional		$281.84	$630.96	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $213.80	Professional		$190.55	$199.53	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $512.86	Professional		$162.18	$309.03	$512.86