Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $95.50 / $151.36	Facility		$26.92	$95.50	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $25.70	Professional		$18.20	$20.89	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $77.62 / $131.83	Facility		$33.88	$77.62	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $45.71	Professional		$11.48	$11.48	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $83.18	Facility		$14.45	$17.78	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $38.90	Professional		$18.20	$31.62	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $19.95	Professional		$11.48	$11.48	$19.95