Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $181.97 / $371.54	Facility		$87.10	$181.97	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $186.21	Professional		$85.11	$87.10	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $281.84	Facility		$128.82	$169.82	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $223.87	Facility		$81.28	$81.28	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Professional		$87.10	$87.10	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $1,995.26	Professional		$87.10	$131.83	$1,995.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72