Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $77.62 / $165.96	Facility		$22.39	$77.62	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $54.95	Professional		$22.91	$32.36	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $102.33 / $169.82	Facility		$43.65	$102.33	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $40.74	Professional		$29.51	$35.48	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.91 / $91.20	Facility		$20.42	$22.91	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $69.18	Professional		$18.20	$28.84	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $52.48	Professional		$48.98	$50.12	$52.48
Select Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $35.48	Professional		$24.55	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $21.38	Professional		$14.79	$19.95	$21.38