Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $245.47	Facility		$141.25	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $208.93	Professional		$109.65	$141.25	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $288.40 / $549.54	Facility		$257.04	$288.40	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $186.21	Professional		$134.90	$138.04	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $177.83	Professional		$120.23	$120.23	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $407.38	Professional		$154.88	$257.04	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $257.04	Professional		$251.19	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $154.88	Facility		$107.15	$125.89	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $173.78	Professional		$104.71	$114.82	$173.78