Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $58.88	Professional		$50.12	$50.12	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $52.48 / $125.89	Professional		$51.29	$52.48	$125.89
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 $85.11 / $190.55 / $213.80	Professional		$85.11	$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 $95.50 / $95.50 / $125.89	Professional		$95.50	$95.50	$125.89