Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $91.20 / $91.20	Facility		$52.48	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $77.62	Professional		$40.74	$52.48	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $208.93	Facility		$95.50	$107.15	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $67.61	Professional		$50.12	$53.70	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $57.54	Professional		$39.81	$39.81	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $165.96	Professional		$57.54	$95.50	$165.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $95.50	Professional		$93.33	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $57.54	Facility		$39.81	$46.77	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $64.57	Professional		$38.90	$42.66	$64.57