Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $660.69	Professional		$549.54	$549.54	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,071.52	Professional		$1,000.00	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $524.81 / $724.44	Facility		$281.84	$524.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $812.83	Professional		$134.90	$213.80	$812.83
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 / $245.47 / $1,258.93	Professional		$125.89	$245.47	$1,258.93