Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $7,762.47 / $20,417.38	Facility		$54.95	$7,762.47	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $9,120.11	Professional		$54.95	$54.95	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $95.50 / $190.55	Facility		$60.26	$95.50	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $74.13	Facility		$52.48	$52.48	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $173.78	Professional		$54.95	$83.18	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Professional		$54.95	$54.95	$58.88