Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $104.71	Facility		$60.26	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $114.82	Professional		$56.23	$72.44	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $138.04 / $263.03	Facility		$123.03	$138.04	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $97.72	Professional		$72.44	$83.18	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $95.50	Professional		$64.57	$64.57	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $295.12	Professional		$74.13	$123.03	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $123.03	Professional		$120.23	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $93.33	Facility		$54.95	$81.28	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $93.33	Professional		$54.95	$60.26	$93.33