Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $316.23	Facility		$15.49	$30.20	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $20.89	Professional		$10.00	$14.13	$20.89
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.59 / $12.59 / $12.59	Professional	CQ	$12.59	$12.59	$12.59
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 $13.18 / $70.79 / $75.86	Professional		$13.18	$70.79	$75.86
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 $11.75 / $12.30 / $26.92	Professional		$11.75	$12.30	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $39.81	Professional		$16.98	$28.84	$39.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.62 / $19.50	Professional		$17.38	$18.62	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.62 / $20.42	Professional		$16.22	$18.62	$20.42