Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $162.18 / $331.13	Facility		$77.62	$162.18	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $251.19	Facility		$117.49	$151.36	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $102.33	Facility		$72.44	$72.44	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $389.05 / $389.05	Professional		$109.65	$389.05	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $77.62	Professional		$74.13	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62