Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $141.25 / $141.25	Facility		$79.43	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $102.33	Professional		$53.70	$72.44	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $165.96 / $316.23	Facility		$147.91	$165.96	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $93.33	Professional		$67.61	$69.18	$93.33
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 $67.61 / $67.61 / $97.72	Professional		$67.61	$67.61	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $208.93	Professional		$87.10	$147.91	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $147.91	Professional		$138.04	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $67.61	Facility		$52.48	$57.54	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $87.10	Professional		$51.29	$57.54	$87.10