Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $245.47 / $489.78	Facility		$114.82	$245.47	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $141.25	Professional		$100.00	$114.82	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $416.87	Facility		$128.82	$204.17	$416.87
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 $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
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 $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $107.15	Professional		$100.00	$100.00	$107.15