Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $77.62 / $165.96	Facility		$22.39	$77.62	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $34.67	Professional		$16.98	$26.92	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $102.33 / $169.82	Facility		$43.65	$102.33	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $26.92	Professional		$14.79	$14.79	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.91 / $93.33	Facility		$20.42	$22.91	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.99 / $41.69	Professional		$10.96	$23.99	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $173.78 / $173.78	Professional		$50.12	$173.78	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.59 / $15.85	Facility		$9.77	$12.59	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.79 / $20.89	Professional		$7.76	$14.79	$20.89