Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $109.65 / $109.65	Facility		$61.66	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $89.13	Professional		$48.98	$61.66	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $245.47	Facility		$114.82	$128.82	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $81.28	Professional		$60.26	$63.10	$81.28
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 / $81.28	Professional		$54.95	$54.95	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $162.18	Professional		$67.61	$114.82	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $114.82	Professional		$112.20	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $69.18	Facility		$47.86	$56.23	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $77.62	Professional		$46.77	$51.29	$77.62