Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Facility		$19.05	$19.05	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $22.39	Professional		$19.05	$19.05	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.90 / $104.71	Facility		$19.05	$30.90	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $19.05	Facility		$17.78	$17.78	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $57.54 / $57.54	Professional		$20.89	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $35.48 / $50.12	Facility		$18.20	$35.48	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.44	Professional		$19.05	$19.05	$23.44