Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $524.81 / $831.76	Facility		$151.36	$524.81	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $144.54	Professional		$89.13	$120.23	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $436.52 / $724.44	Facility		$190.55	$436.52	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $151.36	Professional		$63.10	$63.10	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $457.09	Facility		$79.43	$97.72	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $218.78	Professional		$165.96	$181.97	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Professional		$208.93	$208.93	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $151.36	Professional		$104.71	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $89.13	Professional		$63.10	$63.10	$89.13