Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $93.33 / $199.53	Facility		$26.92	$93.33	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $53.70	Professional		$28.18	$37.15	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $123.03 / $208.93	Facility		$53.70	$123.03	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $48.98	Professional		$35.48	$42.66	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $27.54 / $112.20	Facility		$25.12	$27.54	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $85.11	Professional		$22.39	$35.48	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $288.40	Professional		$60.26	$60.26	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $42.66	Professional		$30.20	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $26.30	Professional		$17.78	$24.55	$26.30