Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $977.24 / $4,570.88	Facility		$104.71	$977.24	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,202.26	Professional		$104.71	$104.71	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $331.13	Facility		$154.88	$204.17	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $213.80	Facility		$97.72	$97.72	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Professional		$104.71	$104.71	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $1,318.26	Professional		$104.71	$158.49	$1,318.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $87.10	Professional		$72.44	$72.44	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $114.82	Professional		$104.71	$104.71	$114.82