Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $40.74 / $144.54	Facility		$19.50	$40.74	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $38.90	Professional		$21.88	$25.70	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $89.13 / $147.91	Facility		$38.90	$89.13	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $23.99	Professional		$12.88	$15.14	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.95 / $81.28	Facility		$18.20	$19.95	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $37.15	Professional		$20.42	$28.18	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $257.04 / $257.04	Professional		$43.65	$257.04	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.91 / $23.44	Facility		$13.80	$22.91	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $22.91	Professional		$12.88	$17.78	$22.91