Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $446.68 / $954.99	Facility		$128.82	$446.68	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $204.17	Professional		$120.23	$162.18	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $588.84 / $977.24	Facility		$251.19	$588.84	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $204.17	Professional		$85.11	$85.11	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $131.83 / $537.03	Facility		$107.15	$131.83	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $295.12	Professional		$93.33	$147.91	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $288.40 / $676.08	Professional		$281.84	$288.40	$676.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $204.17	Professional		$141.25	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Professional		$85.11	$85.11	$120.23