Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $120.23	Facility		$67.61	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $102.33	Professional		$51.29	$67.61	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $141.25 / $269.15	Facility		$125.89	$141.25	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $85.11	Professional		$63.10	$64.57	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $87.10	Professional		$58.88	$58.88	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $204.17	Professional		$74.13	$125.89	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $53.70 / $67.61	Facility		$0.09	$53.70	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $81.28	Professional		$48.98	$53.70	$81.28