Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $97.72 / $208.93	Facility		$28.18	$97.72	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $43.65	Professional		$28.18	$34.67	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $128.82 / $218.78	Facility		$56.23	$128.82	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $44.67	Professional		$19.05	$19.05	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $117.49	Facility		$23.99	$29.51	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $66.07	Professional		$20.89	$33.11	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $302.00	Professional		$63.10	$63.10	$302.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $44.67	Professional		$31.62	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $26.92	Professional		$19.05	$19.05	$26.92