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 $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $977.24	Professional		$616.60	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $512.86	Facility		$70.79	$70.79	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Professional		$75.86	$75.86	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $724.44	Professional		$134.90	$213.80	$724.44
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