Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $354.81 / $354.81	Facility		$204.17	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $354.81	Professional		$158.49	$223.87	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $891.25	Facility		$416.87	$467.74	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $288.40	Professional		$218.78	$218.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $302.00	Professional		$213.80	$213.80	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $851.14	Professional		$251.19	$416.87	$851.14
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $416.87	Professional		$407.38	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $239.88 / $281.84	Facility		$0.28	$239.88	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $275.42	Professional		$165.96	$181.97	$275.42