Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $173.78	Professional		$158.49	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $147.91	Facility		$50.12	$50.12	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $54.95	Professional		$52.48	$52.48	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $302.00	Professional		$134.90	$213.80	$302.00
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 / $954.99	Professional		$125.89	$125.89	$954.99