Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $66.07	Facility		$48.98	$56.23	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $100.00	Professional		$51.29	$67.61	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $72.44 / $75.86	Professional	25	$14.45	$72.44	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $144.54	Professional		$79.43	$107.15	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $177.83	Professional		$107.15	$131.83	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $151.36	Professional		$97.72	$114.82	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $81.28	Professional		$69.18	$72.44	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $165.96	Professional		$70.79	$95.50	$165.96