Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $302.00 / $645.65	Facility		$87.10	$302.00	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $134.90	Professional		$81.28	$109.65	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $398.11 / $660.69	Facility		$169.82	$398.11	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $138.04	Professional		$57.54	$57.54	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $363.08	Facility		$72.44	$89.13	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $199.53	Professional		$61.66	$83.18	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $251.19	Professional		$190.55	$194.98	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $138.04	Professional		$95.50	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $81.28	Professional		$57.54	$57.54	$81.28