Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $100.00 / $218.78	Facility		$28.84	$100.00	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $54.95	Professional		$32.36	$38.90	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $131.83 / $223.87	Facility		$57.54	$131.83	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $38.02	Professional		$19.50	$19.50	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $120.23	Facility		$26.92	$30.20	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $54.95	Professional		$29.51	$41.69	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $239.88 / $239.88	Professional		$66.07	$239.88	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $34.67	Facility		$20.89	$33.88	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $33.88	Professional		$19.50	$26.30	$33.88