Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $281.84 / $588.84	Facility		$112.20	$281.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $524.81	Professional		$112.20	$120.23	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $218.78 / $354.81	Facility		$165.96	$218.78	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Facility		$104.71	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $954.99 / $954.99	Professional		$158.49	$954.99	$954.99
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $117.49	Professional		$109.65	$109.65	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20