Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $416.87	Facility		$77.62	$120.23	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $181.97	Professional		$64.57	$81.28	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $158.49	Professional		$79.43	$107.15	$158.49
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 $75.86 / $109.65 / $162.18	Professional		$75.86	$109.65	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $426.58	Professional		$81.28	$95.50	$426.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $104.71	Professional		$66.07	$85.11	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $169.82	Professional		$75.86	$109.65	$169.82