Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Professional		$75.86	$75.86	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $147.91	Facility		$72.44	$72.44	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Professional		$75.86	$75.86	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $295.12	Professional		$134.90	$213.80	$295.12
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 / $302.00	Professional		$125.89	$125.89	$302.00