Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $123.03 / $6,606.93	Facility		$57.54	$123.03	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $79.43	Professional		$57.54	$57.54	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $199.53	Facility		$61.66	$100.00	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $74.13	Facility		$53.70	$53.70	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $123.03	Professional		$81.28	$123.03	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $57.54	Professional		$51.29	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54