Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $79.43 / $1,380.38	Facility		$25.70	$79.43	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $42.66	Professional		$22.91	$30.20	$42.66
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 / $245.47	Professional		$48.98	$50.12	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $54.95	Professional		$50.12	$50.12	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $21.38	Professional		$14.79	$19.95	$21.38