Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $870.96	Facility		$158.49	$549.54	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $151.36	Professional		$93.33	$125.89	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $457.09 / $758.58	Facility		$199.53	$457.09	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $158.49 / $158.49	Professional		$66.07	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $478.63	Facility		$83.18	$102.33	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $229.09	Professional		$190.55	$190.55	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $223.87	Professional		$218.78	$218.78	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $158.49	Professional		$109.65	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Professional		$66.07	$66.07	$93.33