Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $562.34 / $1,122.02	Facility		$263.03	$562.34	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $323.59	Professional		$257.04	$263.03	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $524.81 / $870.96	Facility		$407.38	$524.81	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Professional		$269.15	$269.15	$281.84