Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.38 / $33.11	Facility		$19.05	$21.38	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $33.11	Professional		$15.85	$21.38	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $83.18 / $85.11	Facility		$75.86	$83.18	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $30.20	Professional		$25.12	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $29.51	Professional		$23.44	$27.54	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $56.23 / $123.03	Professional		$23.44	$56.23	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $43.65	Professional		$38.90	$39.81	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $16.60 / $23.99	Facility		$2.19	$16.60	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.62 / $32.36	Professional		$17.78	$18.62	$32.36