Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $147.91 / $147.91	Facility		$85.11	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $125.89	Professional		$69.18	$85.11	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $173.78 / $338.84	Facility		$154.88	$173.78	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Professional		$66.07	$66.07	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $223.87	Professional		$93.33	$154.88	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $154.88	Professional		$144.54	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $81.28	Facility		$39.81	$69.18	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $104.71	Professional		$63.10	$69.18	$104.71