Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $112.20	Professional		$97.72	$97.72	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $97.72	Professional		$70.79	$70.79	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Facility		$93.33	$93.33	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $102.33	Professional		$97.72	$97.72	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $251.19	Professional		$134.90	$213.80	$251.19
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 / $125.89 / $165.96	Professional		$125.89	$125.89	$165.96