Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.83 / $177.83	Facility		$100.00	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $181.97	Professional		$87.10	$120.23	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $234.42 / $446.68	Facility		$208.93	$234.42	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $158.49	Professional		$120.23	$123.03	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $177.83	Professional		$125.89	$125.89	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $588.84	Professional		$125.89	$208.93	$588.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $208.93	Professional		$204.17	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $154.88	Facility		$69.18	$131.83	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $154.88	Professional		$89.13	$100.00	$154.88