Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $208.93	Facility		$120.23	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $194.98	Professional		$102.33	$120.23	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $478.63	Facility		$218.78	$251.19	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $165.96	Professional		$125.89	$131.83	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $138.04	Professional		$100.00	$100.00	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $812.83	Professional		$131.83	$218.78	$812.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $107.15 / $134.90	Facility		$0.17	$107.15	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $162.18	Professional		$97.72	$107.15	$162.18