Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $27.54	Facility		$23.99	$23.99	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $27.54	Professional		$22.91	$23.99	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $131.83	Facility		$23.99	$40.74	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Professional		$19.05	$19.05	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $44.67 / $63.10	Facility		$22.91	$44.67	$63.10