Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $354.81	Facility		$169.82	$234.42	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $354.81	Professional		$138.04	$169.82	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $346.74 / $660.69	Facility		$309.03	$346.74	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $208.93	Professional		$144.54	$158.49	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $186.21	Professional		$128.82	$128.82	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $457.09	Professional		$181.97	$309.03	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $309.03	Professional		$295.12	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $131.83 / $165.96	Facility		$0.21	$131.83	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $199.53	Professional		$120.23	$131.83	$199.53