Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $177.83 / $3,548.13	Facility		$81.28	$177.83	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $141.25	Professional		$81.28	$81.28	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $302.00	Facility		$123.03	$158.49	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $602.56	Facility		$77.62	$77.62	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Professional		$81.28	$81.28	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $776.25	Professional		$81.28	$123.03	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $223.87	Professional		$218.78	$218.78	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $87.10	Professional		$81.28	$81.28	$87.10