Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $46.77 / $100.00	Facility		$13.49	$46.77	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $25.12	Professional		$15.14	$18.20	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $61.66 / $104.71	Facility		$26.92	$61.66	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $17.78	Professional		$9.12	$9.12	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.80 / $56.23	Facility		$12.59	$13.80	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $25.70	Professional		$14.13	$15.85	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $120.23 / $120.23	Professional		$30.20	$120.23	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.85 / $16.22	Facility		$9.77	$15.85	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $15.85	Professional		$9.12	$12.30	$15.85