Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $125.89 / $257.04	Facility		$60.26	$125.89	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $104.71	Professional		$60.26	$60.26	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $117.49 / $194.98	Facility		$91.20	$117.49	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $245.47	Facility		$54.95	$54.95	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $446.68 / $446.68	Professional		$85.11	$446.68	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $218.78	Professional		$60.26	$70.79	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26