Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $58.88 / $123.03	Facility		$16.98	$58.88	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $30.90	Professional		$18.20	$21.88	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $77.62 / $128.82	Facility		$33.11	$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 $15.49 / $17.38 / $69.18	Facility		$15.49	$17.38	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $31.62	Professional		$16.22	$22.39	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $64.57	Professional		$38.02	$64.57	$64.57
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 / $18.20 / $18.62	Facility		$12.02	$18.20	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $19.50	Professional		$11.22	$14.13	$19.50