Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $446.68 / $2,398.83	Facility		$169.82	$446.68	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $1,905.46	Professional		$169.82	$177.83	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $331.13 / $549.54	Facility		$257.04	$331.13	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $245.47	Facility		$162.18	$162.18	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $186.21	Professional		$169.82	$169.82	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $575.44	Professional		$169.82	$257.04	$575.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Professional		$169.82	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $181.97	Professional		$169.82	$169.82	$181.97