Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $549.54	Facility		$104.71	$275.42	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $501.19	Professional		$104.71	$123.03	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $204.17 / $338.84	Facility		$158.49	$204.17	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $151.36	Facility		$100.00	$100.00	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $398.11 / $398.11	Professional		$151.36	$398.11	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71