Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $831.76	Facility		$138.04	$138.04	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $169.82	Professional		$138.04	$138.04	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $446.68	Facility		$204.17	$269.15	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Facility		$128.82	$128.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $234.42	Professional		$194.98	$234.42	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $141.25	Professional		$138.04	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $199.53	Professional		$138.04	$165.96	$199.53