Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $109.65 / $109.65	Facility		$63.10	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $95.50	Professional		$46.77	$61.66	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $245.47	Facility		$114.82	$128.82	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Professional		$58.88	$58.88	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $70.79	Professional		$48.98	$48.98	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $186.21	Professional		$69.18	$114.82	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $114.82	Professional		$112.20	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $50.12 / $61.66	Facility		$0.08	$50.12	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86