Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Facility		$24.95	$24.95	$24.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $29.94	Professional		$24.95	$24.95	$29.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $143.00 / $153.00	Professional		$24.95	$143.00	$153.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $51.36	Professional		$29.35	$29.35	$51.36