Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $257.04	Facility		$147.91	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $218.78	Professional		$109.65	$147.91	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $302.00 / $575.44	Facility		$269.15	$302.00	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $186.21	Professional		$134.90	$134.90	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $177.83	Professional		$123.03	$123.03	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $489.78	Professional		$162.18	$269.15	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $269.15	Professional		$257.04	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $114.82 / $144.54	Facility		$0.18	$114.82	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $173.78	Professional		$104.71	$114.82	$173.78