Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $28.51 / $264.00	Facility		$21.77	$28.51	$264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $22.08 / $27.65	Professional		$19.60	$22.08	$27.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $33.54 / $139.46	Facility		$18.75	$33.54	$139.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $13.39 / $40.28	Professional		$10.03	$13.39	$40.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $59.34 / $71.08	Facility		$11.76	$59.34	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $26.85 / $42.77	Professional		$10.24	$26.85	$42.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $30.59 / $67.00	Professional		$28.13	$30.59	$67.00
United Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $137.09 / $137.09	Facility		$137.09	$137.09	$137.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $14.30 / $25.22	Professional		$10.24	$14.30	$25.22