Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $117.49 / $190.55	Facility		$33.88	$117.49	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $32.36	Professional		$19.95	$26.92	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $162.18	Facility		$42.66	$97.72	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $33.88	Professional		$14.13	$14.13	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $102.33	Facility		$18.20	$21.88	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $33.88	Professional		$23.44	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $20.42	Professional		$14.13	$14.13	$20.42