Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $44.67 / $1,737.80	Facility		$20.89	$44.67	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $40.74	Professional		$19.95	$20.89	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $66.07	Facility		$30.90	$40.74	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $33.88	Facility		$19.50	$19.50	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $204.17 / $204.17	Professional		$29.51	$204.17	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $28.18	Professional		$20.89	$22.91	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89