Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $89.13	Facility		$51.29	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $61.66	Professional		$33.11	$41.69	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $104.71 / $199.53	Facility		$93.33	$104.71	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $53.70	Professional		$39.81	$42.66	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $45.71	Professional		$30.90	$30.90	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $131.83	Professional		$56.23	$93.33	$131.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $93.33	Professional		$87.10	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $45.71	Facility		$31.62	$37.15	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $51.29	Professional		$30.90	$33.88	$51.29