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 / $30.20	Professional		$16.98	$19.95	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $77.62 / $128.82	Facility		$33.88	$77.62	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $20.42	Professional		$11.22	$11.22	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.38 / $70.79	Facility		$15.85	$17.38	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.62 / $32.36	Professional		$11.75	$18.62	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $100.00 / $100.00	Professional		$38.02	$100.00	$100.00
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 $12.02 / $12.59 / $12.88	Facility		$12.02	$12.59	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $19.95	Professional		$10.00	$11.22	$19.95