Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $43.65 / $93.33	Facility		$12.59	$43.65	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $24.55	Professional		$12.88	$18.20	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $57.54 / $97.72	Facility		$25.12	$57.54	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $22.91	Professional		$16.60	$19.95	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.88 / $52.48	Facility		$11.75	$12.88	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $47.86	Professional		$10.47	$15.14	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $123.03	Professional		$19.95	$28.18	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $30.90	Professional		$28.84	$28.84	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $12.30	Professional		$8.51	$11.48	$12.30