Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $158.49 / $158.49	Facility		$91.20	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $107.15	Professional		$57.54	$74.13	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $363.08	Facility		$165.96	$190.55	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $97.72	Professional		$72.44	$77.62	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $85.11	Professional		$58.88	$58.88	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $239.88	Professional		$100.00	$165.96	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $165.96	Professional		$154.88	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $66.07 / $77.62	Facility		$57.54	$66.07	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $93.33	Professional		$56.23	$61.66	$93.33