Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $141.25 / $302.00	Facility		$40.74	$141.25	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $125.89	Professional		$42.66	$53.70	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $186.21 / $309.03	Facility		$81.28	$186.21	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $53.70	Professional		$26.92	$26.92	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $41.69 / $169.82	Facility		$38.02	$41.69	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $77.62	Professional		$41.69	$58.88	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $338.84 / $338.84	Professional		$91.20	$338.84	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $48.98	Facility		$28.84	$47.86	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $47.86	Professional		$26.92	$37.15	$47.86