Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $138.04 / $501.19	Facility		$56.23	$138.04	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $186.21	Professional		$93.33	$131.83	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $691.83	Facility		$177.83	$416.87	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $141.25	Professional		$104.71	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $93.33 / $371.54	Facility		$83.18	$93.33	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $239.88	Professional		$66.07	$93.33	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $204.17	Professional		$181.97	$181.97	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $218.78	Professional		$204.17	$204.17	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $85.11	Professional		$60.26	$74.13	$85.11