Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $138.04 / $138.04	Facility		$79.43	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $204.17	Professional		$79.43	$134.90	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $165.96 / $316.23	Facility		$147.91	$165.96	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $269.15	Professional		$177.83	$194.98	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $218.78	Professional		$154.88	$154.88	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $524.81	Professional		$87.10	$147.91	$524.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $281.84	Professional		$141.25	$147.91	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $158.49 / $190.55	Facility		$0.25	$158.49	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $239.88	Professional		$131.83	$154.88	$239.88