Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $234.42	Facility		$54.95	$117.49	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $114.82	Professional		$53.70	$54.95	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $173.78	Facility		$81.28	$107.15	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $72.44	Facility		$51.29	$51.29	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $436.52 / $436.52	Professional		$77.62	$436.52	$436.52
Select Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95