Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $338.84 / $724.44	Facility		$97.72	$338.84	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $173.78	Professional		$112.20	$144.54	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $446.68 / $741.31	Facility		$190.55	$446.68	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $117.49	Professional		$64.57	$64.57	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $100.00 / $407.38	Facility		$81.28	$100.00	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $218.78	Professional		$74.13	$147.91	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $630.96 / $630.96	Professional		$218.78	$630.96	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Facility		$69.18	$69.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $114.82	Professional		$64.57	$64.57	$114.82