Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $173.78	Facility		$100.00	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $204.17	Professional		$107.15	$154.88	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $234.42	Professional		$83.18	$158.49	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $562.34	Professional		$234.42	$371.54	$562.34
Select Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $234.42	Professional		$229.09	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $158.49	Professional		$93.33	$97.72	$158.49