Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $245.47	Professional		$204.17	$204.17	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $1,023.29	Professional		$125.89	$204.17	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $446.68	Facility		$194.98	$194.98	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $213.80	Professional		$204.17	$204.17	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $933.25	Professional		$134.90	$213.80	$933.25
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 $125.89 / $263.03 / $1,047.13	Professional		$125.89	$263.03	$1,047.13