Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $74.13 / $162.18	Facility		$21.38	$74.13	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $40.74	Professional		$21.88	$28.84	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $165.96	Facility		$42.66	$97.72	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.49 / $26.30	Professional		$14.45	$15.49	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.39 / $91.20	Facility		$19.95	$22.39	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $48.98	Professional		$21.88	$33.11	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $100.00	Professional		$48.98	$100.00	$100.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.44 / $23.99	Facility		$15.49	$23.44	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $25.12	Professional		$14.45	$18.20	$25.12