Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $223.87 / $478.63	Facility		$63.10	$223.87	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $158.49	Professional		$67.61	$95.50	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $295.12 / $489.78	Facility		$125.89	$295.12	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $120.23	Professional		$42.66	$42.66	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $66.07 / $269.15	Facility		$53.70	$66.07	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $147.91	Professional		$46.77	$97.72	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $269.15	Professional		$141.25	$144.54	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $100.00	Professional		$70.79	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $60.26	Professional		$42.66	$42.66	$60.26