Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $27.20 / $90.09	Facility		$13.60	$27.20	$90.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $90.09	Professional		$13.60	$13.60	$90.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $103.17 / $105.55	Professional		$101.33	$103.17	$105.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $20.71	Facility		$16.00	$16.00	$20.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $16.00 / $16.80	Professional		$15.74	$16.00	$16.80