Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $186.21	Facility		$107.15	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $181.97	Professional		$91.20	$114.82	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $218.78 / $426.58	Facility		$194.98	$218.78	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $147.91	Professional		$112.20	$123.03	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $204.17	Facility		$138.04	$138.04	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $204.17	Professional		$100.00	$100.00	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $346.74	Professional		$117.49	$194.98	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $95.50 / $112.20	Facility		$89.13	$95.50	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $144.54	Professional		$87.10	$95.50	$144.54