Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $83.18 / $131.83	Facility		$15.14	$83.18	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $28.84	Professional		$15.85	$19.95	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $69.18 / $114.82	Facility		$30.20	$69.18	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.99 / $23.99	Professional		$10.00	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $63.10	Facility		$14.13	$15.49	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $28.84	Professional		$12.02	$17.78	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $138.04 / $138.04	Professional		$33.88	$138.04	$138.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.18 / $13.18	Facility		$10.72	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.23 / $19.05	Professional		$10.00	$10.23	$19.05