Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $144.54	Professional		$77.62	$102.33	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $151.36	Facility		$114.82	$114.82	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $151.36	Professional		$97.72	$114.82	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $851.14	Professional		$104.71	$120.23	$851.14
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $208.93	Professional		$169.82	$173.78	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $77.62 / $123.03	Facility		$10.23	$77.62	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $144.54	Professional		$87.10	$102.33	$144.54