Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $426.58 / $43,651.58	Facility		$194.98	$426.58	$43,651.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $630.96	Facility		$295.12	$380.19	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $269.15	Facility		$186.21	$186.21	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $660.69	Professional		$194.98	$295.12	$660.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $208.93	Professional		$194.98	$194.98	$208.93