Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $363.08 / $724.44	Facility		$169.82	$363.08	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $234.42	Professional		$169.82	$169.82	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $537.03	Facility		$251.19	$331.13	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $229.09	Facility		$158.49	$158.49	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $524.81	Professional		$239.88	$524.81	$524.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $173.78	Professional		$138.04	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82