Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $22.91	Facility		$21.88	$21.88	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $28.84	Professional		$19.95	$21.88	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $42.66 / $70.79	Facility		$33.11	$42.66	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $57.54	Professional		$31.62	$57.54	$57.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $23.99	Professional		$19.95	$23.99	$23.99