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 $36.31 / $48.98 / $67.61	Professional		$36.31	$48.98	$67.61
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 $44.67 / $45.71 / $61.66	Professional		$44.67	$45.71	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $57.54	Professional		$39.81	$39.81	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $138.04	Professional		$56.23	$93.33	$138.04
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 $0.06 / $38.02 / $47.86	Facility		$0.06	$38.02	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $57.54	Professional		$34.67	$38.02	$57.54