Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $186.21 / $19,054.61	Facility		$79.43	$186.21	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $112.20	Professional		$79.43	$79.43	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $281.84	Facility		$87.10	$138.04	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $109.65	Facility		$75.86	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $83.18	Professional		$79.43	$79.43	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $223.87	Professional		$79.43	$120.23	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $85.11	Professional		$79.43	$79.43	$85.11