Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $60.26	Facility		$30.90	$38.02	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $47.86	Professional		$30.90	$33.88	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $134.90 / $138.04	Facility		$123.03	$134.90	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $47.86	Professional		$28.84	$38.90	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $50.12	Facility		$40.74	$40.74	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $44.67	Professional		$34.67	$34.67	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $478.63	Professional		$44.67	$89.13	$478.63
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $70.79	Professional		$61.66	$64.57	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $48.98	Facility		$35.48	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $77.62	Professional		$27.54	$34.67	$77.62