Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $154.88 / $5,370.32	Facility		$40.74	$154.88	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $165.96	Professional		$72.44	$74.13	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $234.42	Facility		$109.65	$144.54	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $102.33	Facility		$69.18	$69.18	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $263.03	Professional		$74.13	$112.20	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Professional		$74.13	$74.13	$77.62