Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $42.66 / $125.89	Facility		$19.50	$42.66	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $29.51	Professional		$16.22	$19.95	$29.51
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 / $70.79	Facility		$15.49	$17.38	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $32.36	Professional		$12.30	$19.50	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $173.78 / $173.78	Professional		$38.02	$173.78	$173.78
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 / $13.18 / $13.49	Facility		$12.02	$13.18	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.22 / $19.95	Professional		$10.47	$11.22	$19.95