Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $251.19 / $57,543.99	Facility		$120.23	$251.19	$57,543.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $169.82	Professional		$120.23	$120.23	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $234.42 / $389.05	Facility		$181.97	$234.42	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $158.49	Facility		$114.82	$114.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $275.42	Professional		$169.82	$275.42	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $120.23	Professional		$112.20	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23