Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,019.95 / $12,882.50	Facility		$100.00	$3,019.95	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $138.04	Professional		$97.72	$100.00	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $316.23	Facility		$147.91	$194.98	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $158.49	Facility		$93.33	$93.33	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $954.99 / $954.99	Professional		$141.25	$954.99	$954.99
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $112.20	Professional		$79.43	$79.43	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $109.65	Professional		$100.00	$100.00	$109.65