Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.78 / $17.78	Facility		$10.00	$17.78	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.95	Professional		$10.00	$14.13	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $23.99	Professional		$10.47	$10.47	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $38.02	Professional		$23.99	$33.88	$38.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.99 / $23.99	Professional		$23.44	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.14	Professional		$8.91	$10.00	$15.14