Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $128.82 / $128.82	Facility		$42.66	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $21.38 / $30.90	Facility		$2.04	$21.38	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $18.20	Professional		$2.04	$2.04	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $28.18 / $66.07	Facility		$1.17	$28.18	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $32.36	Professional		$10.96	$20.42	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $162.18	Professional		$123.03	$123.03	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $13.18 / $23.99	Facility		$8.51	$13.18	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $35.48	Professional		$10.23	$14.45	$35.48