Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $31.62 / $117.49	Facility		$22.91	$31.62	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $37.15	Professional		$22.91	$28.18	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $39.81 / $46.77	Facility		$25.12	$39.81	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $58.88	Professional		$19.05	$19.05	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $77.62 / $107.15	Facility		$54.95	$77.62	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $194.98	Professional		$28.18	$28.18	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $275.42	Professional		$31.62	$40.74	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $35.48	Facility		$31.62	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $54.95	Professional		$14.79	$20.89	$54.95