Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $109.65 / $109.65	Facility		$63.10	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $128.82	Professional		$63.10	$95.50	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $169.82	Professional		$53.70	$102.33	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $380.19	Professional		$151.36	$234.42	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $151.36	Professional		$147.91	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $102.33	Professional		$58.88	$63.10	$102.33