Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $190.55	Facility		$109.65	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $158.49	Professional		$77.62	$109.65	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $251.19 / $478.63	Facility		$223.87	$251.19	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $141.25	Professional		$104.71	$107.15	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $120.23	Professional		$83.18	$83.18	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $416.87	Professional		$134.90	$223.87	$416.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $223.87	Professional		$208.93	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $134.90	Facility		$75.86	$114.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $134.90	Professional		$79.43	$87.10	$134.90