Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $15.14 / $38.90	Facility		$4.37	$15.14	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.01 / $7.94	Professional		$4.37	$5.01	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.95 / $33.88	Facility		$8.71	$19.95	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $5.37	Professional		$2.95	$2.95	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.57 / $18.62	Facility		$4.07	$4.57	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.31 / $8.32	Professional		$4.57	$6.31	$8.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $112.20 / $112.20	Professional		$10.00	$112.20	$112.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.13 / $5.25	Facility		$3.16	$5.13	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.98 / $5.13	Professional		$2.95	$3.98	$5.13