Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $169.82 / $380.19	Facility		$64.57	$169.82	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $74.13	Professional		$25.70	$34.67	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $107.15 / $177.83	Facility		$46.77	$107.15	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $42.66	Professional		$30.20	$37.15	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.99 / $97.72	Facility		$21.88	$23.99	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $69.18	Professional		$18.20	$27.54	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $95.50	Professional		$52.48	$52.48	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $37.15	Professional		$26.30	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $22.39	Professional		$15.49	$19.95	$22.39