Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $295.12 / $38,904.51	Facility		$138.04	$295.12	$38,904.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $181.97	Professional		$134.90	$138.04	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $436.52	Facility		$204.17	$269.15	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $186.21	Facility		$128.82	$128.82	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $446.68	Professional		$138.04	$204.17	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $144.54	Professional		$138.04	$138.04	$144.54