Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $25.12	Facility		$23.99	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Professional		$23.99	$23.99	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Facility		$0.02	$0.02	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $158.49 / $158.49	Professional		$25.12	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $42.66 / $60.26	Facility		$23.44	$42.66	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $51.29	Professional		$29.51	$29.51	$51.29