Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $64.57 / $169.82	Facility		$36.31	$64.57	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $75.86	Professional		$20.89	$30.20	$75.86
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $97.72 / $204.17 / $204.17	Professional	CQ	$97.72	$204.17	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $70.79 / $79.43	Professional		$28.84	$70.79	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $67.61 / $79.43	Facility		$54.95	$67.61	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $53.70	Professional		$22.91	$26.92	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $81.28	Professional		$35.48	$58.88	$81.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $39.81	Professional		$35.48	$38.02	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $43.65	Professional		$33.88	$39.81	$43.65