Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $1,288.25	Facility		$173.78	$478.63	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $269.15	Professional		$173.78	$208.93	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $794.33 / $1,318.26	Facility		$346.74	$794.33	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $275.42	Professional		$114.82	$114.82	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $177.83 / $724.44	Facility		$147.91	$177.83	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $398.11	Professional		$128.82	$263.03	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $776.25	Professional		$389.05	$389.05	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $275.42	Professional		$190.55	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $165.96	Professional		$114.82	$114.82	$165.96