Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $144.54 / $144.54	Facility		$81.28	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $125.89	Professional		$61.66	$81.28	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $323.59	Facility		$151.36	$169.82	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $104.71	Professional		$75.86	$81.28	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $87.10	Professional		$60.26	$60.26	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $239.88	Professional		$91.20	$151.36	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $151.36	Professional		$144.54	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $87.10	Facility		$60.26	$70.79	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $97.72	Professional		$58.88	$64.57	$97.72