Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $199.53	Facility		$114.82	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $234.42	Professional		$114.82	$154.88	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $588.84	Facility		$524.81	$575.44	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $190.55	Professional		$151.36	$169.82	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $213.80	Professional		$128.82	$128.82	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $457.09	Professional		$162.18	$269.15	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $204.17	Facility		$128.82	$186.21	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $186.21	Professional		$107.15	$120.23	$186.21