Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $229.09	Facility		$128.82	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $245.47	Professional		$114.82	$165.96	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $302.00 / $575.44	Facility		$269.15	$302.00	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $213.80	Professional		$158.49	$158.49	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $234.42	Professional		$165.96	$165.96	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $1,380.38	Professional		$158.49	$269.15	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $269.15	Professional		$263.03	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $173.78 / $199.53	Facility		$117.49	$173.78	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $199.53	Professional		$117.49	$128.82	$199.53