Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $151.36 / $316.23	Facility		$74.13	$151.36	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $91.20	Professional		$72.44	$74.13	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $239.88	Facility		$109.65	$144.54	$239.88
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 $69.18 / $69.18 / $100.00	Facility		$69.18	$69.18	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $213.80	Professional		$74.13	$112.20	$213.80
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 / $77.62	Professional		$74.13	$74.13	$77.62