Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $275.42	Facility		$154.88	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $190.55	Professional		$100.00	$125.89	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $323.59 / $616.60	Facility		$288.40	$323.59	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $169.82	Professional		$123.03	$125.89	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $144.54	Professional		$102.33	$102.33	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $407.38	Professional		$169.82	$288.40	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $288.40	Professional		$269.15	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $112.20 / $141.25	Facility		$97.72	$112.20	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $158.49	Professional		$95.50	$104.71	$158.49