Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $275.42	Facility		$64.57	$138.04	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $89.13	Professional		$63.10	$64.57	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $223.87	Facility		$69.18	$112.20	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $125.89	Professional		$91.20	$125.89	$125.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $64.57	Professional		$58.88	$64.57	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57