Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $104.71	Facility		$60.26	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $91.20	Professional		$44.67	$60.26	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $239.88	Facility		$109.65	$123.03	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $75.86	Professional		$56.23	$57.54	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $61.66	Professional		$43.65	$43.65	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $218.78	Professional		$66.07	$109.65	$218.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $109.65	Professional		$107.15	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $47.86 / $60.26	Facility		$0.08	$47.86	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $72.44	Professional		$43.65	$47.86	$72.44