Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $870.96 / $1,380.38	Facility		$245.47	$870.96	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $194.98	Professional		$128.82	$173.78	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $660.69 / $1,202.26	Facility		$309.03	$660.69	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $147.91	Professional		$81.28	$81.28	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $162.18 / $758.58	Facility		$131.83	$162.18	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $281.84 / $354.81	Professional		$97.72	$281.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $245.47	Professional		$194.98	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $181.97	Professional		$81.28	$87.10	$181.97