Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $43.65 / $66.07	Facility		$42.66	$43.65	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $50.12	Professional		$42.66	$42.66	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $46.77 / $239.88	Facility		$43.65	$46.77	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $43.65	Professional		$25.70	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Facility		$40.74	$40.74	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $47.86	Professional		$26.92	$26.92	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $138.04	Facility		$52.48	$97.72	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26