Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $20.89 / $3,981.07	Facility		$19.95	$20.89	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $27.54	Professional		$19.95	$19.95	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $114.82	Facility		$20.89	$33.88	$114.82
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 / $20.89	Facility		$19.50	$19.50	$20.89
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 $22.91 / $42.66 / $42.66	Professional		$22.91	$42.66	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $45.71 / $64.57	Facility		$23.44	$45.71	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $61.66	Professional		$20.89	$20.89	$61.66