Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $457.09 / $977.24	Facility		$131.83	$457.09	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $204.17	Professional		$123.03	$165.96	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $602.56 / $1,000.00	Facility		$257.04	$602.56	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $208.93	Professional		$87.10	$87.10	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $630.96	Facility		$109.65	$134.90	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $302.00	Professional		$95.50	$128.82	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $537.03	Professional		$288.40	$295.12	$537.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $208.93	Professional		$144.54	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $123.03	Professional		$87.10	$87.10	$123.03