Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $91.20	Facility		$51.29	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $72.44	Professional		$33.88	$46.77	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $120.23 / $229.09	Facility		$107.15	$120.23	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $61.66	Professional		$46.77	$53.70	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $52.48	Professional		$35.48	$35.48	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $204.17	Professional		$63.10	$107.15	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $107.15	Professional		$100.00	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $60.26	Facility		$19.95	$51.29	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $60.26	Professional		$35.48	$38.90	$60.26