Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $128.82	Professional		$54.95	$64.57	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $120.23	Professional		$63.10	$85.11	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $199.53	Professional		$85.11	$93.33	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $275.42 / $275.42	Professional		$85.11	$275.42	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $60.26	Professional		$52.48	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $151.36	Professional		$83.18	$104.71	$151.36