Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $323.59 / $630.96	Facility		$162.18	$323.59	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $501.19	Professional		$165.96	$245.47	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $501.19 / $954.99	Facility		$446.68	$501.19	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $309.03	Professional		$186.21	$234.42	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $234.42 / $234.42	Facility		$223.87	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $251.19	Professional		$173.78	$173.78	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $707.95	Professional		$269.15	$446.68	$707.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $446.68	Professional		$416.87	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $234.42	Facility		$138.04	$190.55	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $288.40	Professional		$169.82	$190.55	$288.40