Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $309.03	Facility		$112.20	$165.96	$309.03
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $134.90 / $134.90 / $407.38	Facility	25	$134.90	$134.90	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $398.11	Professional		$100.00	$169.82	$398.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.23 / $204.17 / $467.74	Professional	25	$120.23	$204.17	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $275.42	Professional		$128.82	$190.55	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $151.36 / $204.17	Facility		$141.25	$151.36	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $302.00	Professional		$134.90	$190.55	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $501.19	Professional		$162.18	$251.19	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $234.42	Professional		$117.49	$169.82	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $309.03	Professional		$128.82	$190.55	$309.03