Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $75.86 / $158.49	Facility		$37.15	$75.86	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $51.29	Professional		$36.31	$37.15	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $128.82	Facility		$39.81	$64.57	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $47.86	Facility		$34.67	$34.67	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $87.10	Professional		$52.48	$87.10	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $37.15	Professional		$33.11	$36.31	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15