Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $173.78	Facility		$100.00	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $162.18	Professional		$85.11	$107.15	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $204.17 / $389.05	Facility		$181.97	$204.17	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $144.54	Professional		$104.71	$109.65	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $257.04	Professional		$109.65	$181.97	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $181.97 / $181.97	Professional		$177.83	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $120.23	Facility		$83.18	$97.72	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $134.90	Professional		$81.28	$89.13	$134.90