Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $338.84 / $338.84	Facility		$194.98	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $295.12	Professional		$144.54	$194.98	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $398.11 / $776.25	Facility		$354.81	$398.11	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $245.47	Professional		$181.97	$186.21	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $204.17	Professional		$141.25	$141.25	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $645.65	Professional		$213.80	$354.81	$645.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $354.81	Professional		$346.74	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $154.88 / $190.55	Facility		$0.25	$154.88	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $234.42	Professional		$138.04	$154.88	$234.42