Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $109.65 / $223.87	Facility		$53.70	$109.65	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $66.07	Professional		$52.48	$52.48	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $169.82	Facility		$79.43	$104.71	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $72.44	Facility		$50.12	$50.12	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $123.03	Professional		$53.70	$79.43	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $56.23	Professional		$53.70	$53.70	$56.23