Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $79.43	Facility		$51.29	$51.29	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $61.66	Professional		$51.29	$51.29	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $67.61	Facility		$47.86	$47.86	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $52.48	Professional		$51.29	$51.29	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $190.55 / $213.80	Professional		$67.61	$190.55	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $134.90	Professional		$123.03	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $125.89	Professional		$67.61	$67.61	$125.89