Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $407.38 / $2,570.40	Facility		$120.23	$407.38	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $131.83	Professional		$93.33	$93.33	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $181.97 / $302.00	Facility		$141.25	$181.97	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $123.03	Facility		$89.13	$89.13	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $316.23 / $316.23	Professional		$131.83	$316.23	$316.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $95.50	Professional		$89.13	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33