Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $134.90 / $288.40	Facility		$38.90	$134.90	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $72.44	Professional		$38.90	$52.48	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $177.83 / $295.12	Facility		$77.62	$177.83	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $61.66	Professional		$25.70	$25.70	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $39.81 / $162.18	Facility		$33.11	$39.81	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $89.13	Professional		$28.84	$58.88	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $741.31	Professional		$87.10	$87.10	$741.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $61.66	Professional		$42.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Professional		$25.70	$25.70	$37.15