Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $66.07 / $158.49	Facility		$14.45	$66.07	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $151.36	Professional		$51.29	$66.07	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $114.82 / $218.78	Facility		$102.33	$114.82	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $79.43	Professional		$56.23	$63.10	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $72.44	Facility		$67.61	$67.61	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $72.44	Professional		$50.12	$50.12	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $151.36	Professional		$61.66	$102.33	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $112.20	Professional		$100.00	$102.33	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $67.61	Facility		$46.77	$54.95	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $75.86	Professional		$45.71	$50.12	$75.86