Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $338.84	Facility		$93.33	$125.89	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $199.53	Professional		$72.44	$91.20	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $165.96	Professional		$66.07	$112.20	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $67.61 / $79.43	Facility		$54.95	$67.61	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $154.88	Professional		$70.79	$112.20	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $204.17	Professional		$79.43	$134.90	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $97.72	Professional		$83.18	$87.10	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $169.82	Professional		$38.90	$107.15	$169.82