Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $245.47 / $794.33	Facility		$81.28	$245.47	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $467.74	Professional		$81.28	$85.11	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $165.96 / $316.23	Facility		$128.82	$165.96	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $128.82	Professional		$97.72	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11