Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $165.96 / $354.81	Facility		$47.86	$165.96	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $57.54 / $75.86	Professional		$21.88	$57.54	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $218.78 / $363.08	Facility		$95.50	$218.78	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $57.54	Professional		$30.20	$31.62	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $48.98 / $199.53	Facility		$40.74	$48.98	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $38.90 / $109.65	Professional		$14.45	$38.90	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $154.88	Professional		$104.71	$107.15	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $75.86	Professional		$52.48	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.60 / $33.88	Facility		$15.85	$16.60	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $45.71	Professional		$12.59	$31.62	$45.71