Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $72.44 / $128.82	Facility		$20.89	$72.44	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $25.70	Professional		$15.14	$19.50	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $63.10 / $104.71	Facility		$26.92	$63.10	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.72 / $16.60	Professional		$9.12	$10.72	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.13 / $57.54	Facility		$12.59	$14.13	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $26.30	Professional		$14.13	$19.95	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $43.65	Professional		$21.88	$30.90	$43.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.22 / $16.22	Facility		$9.77	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $16.22	Professional		$9.12	$12.59	$16.22