Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $154.88 / $154.88	Facility		$87.10	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $134.90	Professional		$66.07	$87.10	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $181.97 / $346.74	Facility		$162.18	$181.97	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $112.20	Professional		$81.28	$85.11	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $104.71	Professional		$72.44	$72.44	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $263.03	Professional		$97.72	$162.18	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $162.18	Professional		$154.88	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $70.79 / $87.10	Facility		$0.11	$70.79	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $104.71	Professional		$63.10	$69.18	$104.71