Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $181.97 / $354.81	Facility		$83.18	$181.97	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $169.82 / $331.13	Facility		$131.83	$169.82	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $89.13	Professional		$83.18	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Professional		$87.10	$87.10	$93.33