Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $74.13 / $173.78	Facility		$21.38	$74.13	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $38.02	Professional		$25.12	$30.20	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $162.18	Facility		$42.66	$97.72	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $33.88	Professional		$16.60	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $21.88 / $89.13	Facility		$19.95	$21.88	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $40.74	Professional		$21.88	$30.90	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $120.23	Professional		$47.86	$120.23	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $25.70	Facility		$15.14	$25.12	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $25.12	Professional		$14.13	$19.50	$25.12