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 $21.88 / $48.98 / $64.57	Professional		$21.88	$48.98	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $186.21 / $309.03	Facility		$79.43	$186.21	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $48.98	Professional		$26.92	$26.92	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $169.82	Facility		$37.15	$41.69	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $46.77 / $91.20	Professional		$19.50	$46.77	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $245.47 / $245.47	Professional		$91.20	$245.47	$245.47
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 $21.38 / $22.39 / $28.84	Facility		$21.38	$22.39	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $40.74	Professional		$16.98	$26.92	$40.74