Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $165.96 / $323.59	Facility		$75.86	$165.96	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Professional		$75.86	$75.86	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $147.91 / $245.47	Facility		$114.82	$147.91	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $104.71	Facility		$72.44	$72.44	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $190.55	Professional		$107.15	$190.55	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Professional		$75.86	$75.86	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86