Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $120.23 / $120.23	Facility		$69.18	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $112.20	Professional		$58.88	$69.18	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $275.42	Facility		$125.89	$144.54	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $91.20	Professional		$67.61	$70.79	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $77.62	Professional		$54.95	$54.95	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $323.59	Professional		$75.86	$125.89	$323.59
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $125.89	Professional		$117.49	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $77.62	Facility		$53.70	$63.10	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $87.10	Professional		$52.48	$57.54	$87.10