Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $147.91	Professional		$77.62	$102.33	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $147.91	Professional		$141.25	$147.91	$147.91
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 $114.82 / $134.90 / $616.60	Professional		$114.82	$134.90	$616.60
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $213.80	Professional		$186.21	$190.55	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $77.62 / $120.23	Facility		$10.23	$77.62	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $144.54	Professional		$87.10	$102.33	$144.54