Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $64.57 / $138.04	Facility		$18.62	$64.57	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $34.67	Professional		$19.95	$25.12	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $85.11 / $144.54	Facility		$37.15	$85.11	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $24.55	Professional		$12.59	$14.79	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.50 / $77.62	Facility		$17.38	$19.50	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $35.48	Professional		$19.50	$26.92	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $309.03 / $309.03	Professional		$41.69	$309.03	$309.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.88 / $22.39	Facility		$13.49	$21.88	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $21.88	Professional		$12.59	$16.98	$21.88