Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $316.23	Professional		$125.89	$245.47	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $707.95 / $724.44	Facility		$645.65	$707.95	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $977.24 / $977.24	Professional		$478.63	$977.24	$977.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $338.84	Professional		$316.23	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $478.63	Professional		$165.96	$323.59	$478.63