Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $117.49 / $239.88	Facility		$56.23	$117.49	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $79.43	Professional		$56.23	$56.23	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $199.53	Facility		$61.66	$97.72	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $72.44	Facility		$53.70	$53.70	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $102.33	Professional		$79.43	$102.33	$102.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $56.23	Professional		$51.29	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23