Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $131.83	Facility		$75.86	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $131.83	Professional		$67.61	$81.28	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $154.88 / $302.00	Facility		$138.04	$154.88	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $109.65	Professional		$75.86	$85.11	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $91.20	Professional		$61.66	$61.66	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $218.78	Professional		$83.18	$138.04	$218.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $138.04	Professional		$134.90	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $79.43	Facility		$60.26	$67.61	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $102.33	Professional		$61.66	$67.61	$102.33