Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $363.08 / $14,791.08	Facility		$173.78	$363.08	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $245.47	Professional		$173.78	$173.78	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $602.56	Facility		$190.55	$302.00	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $234.42	Facility		$162.18	$162.18	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Professional		$173.78	$173.78	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $489.78	Professional		$173.78	$263.03	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21