Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $58.88 / $125.89	Facility		$16.98	$58.88	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $26.92	Professional		$16.98	$19.95	$26.92
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 / $20.89	Professional		$11.48	$11.48	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $70.79	Facility		$14.45	$17.78	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.95 / $38.90	Professional		$11.75	$19.95	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $61.66	Professional		$38.90	$61.66	$61.66
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 / $12.88 / $13.49	Facility		$12.30	$12.88	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.48 / $19.95	Professional		$10.23	$11.48	$19.95