Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $95.50 / $208.93	Facility		$48.98	$95.50	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $295.12	Professional		$85.11	$134.90	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $223.87	Professional		$100.00	$147.91	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $245.47	Professional		$100.00	$151.36	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $331.13	Professional		$117.49	$194.98	$331.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $141.25	Professional		$85.11	$131.83	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $245.47	Professional		$100.00	$147.91	$245.47