Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $36,307.81	Facility		$74.13	$173.78	$36,307.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $128.82	Professional		$74.13	$75.86	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $263.03	Facility		$81.28	$128.82	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $107.15	Facility		$70.79	$70.79	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Professional		$74.13	$74.13	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $239.88	Professional		$74.13	$112.20	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $79.43	Professional		$74.13	$74.13	$79.43