Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $501.19 / $1,023.29	Facility		$239.88	$501.19	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $302.00	Professional		$239.88	$239.88	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $467.74 / $776.25	Facility		$363.08	$467.74	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Facility		$229.09	$229.09	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $602.56	Professional		$239.88	$363.08	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $257.04	Professional		$239.88	$239.88	$257.04