Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $251.19	Facility		$144.54	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $173.78	Professional		$91.20	$120.23	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $295.12 / $562.34	Facility		$263.03	$295.12	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $151.36	Professional		$112.20	$117.49	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $128.82	Professional		$91.20	$91.20	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $371.54	Professional		$158.49	$263.03	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $263.03	Professional		$245.47	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $114.82	Facility		$89.13	$104.71	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $144.54	Professional		$87.10	$95.50	$144.54