Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $85.11 / $194.98	Facility		$25.70	$85.11	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $69.18	Professional		$23.99	$32.36	$69.18
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 $28.18 / $35.48 / $40.74	Professional		$28.18	$35.48	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.91 / $91.20	Facility		$18.62	$22.91	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $61.66	Professional		$18.20	$25.70	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $181.97	Professional		$35.48	$50.12	$181.97
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 / $20.89	Professional		$14.79	$19.95	$20.89