Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $33.88	Professional		$12.88	$25.70	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $77.62	Facility		$69.18	$75.86	$77.62
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 $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $363.08 / $363.08	Professional		$52.48	$363.08	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $36.31	Professional		$33.88	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $51.29	Professional		$17.78	$34.67	$51.29