Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $43.65 / $354.81	Facility		$19.95	$43.65	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $40.74	Professional		$19.95	$19.95	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $75.86	Facility		$30.20	$39.81	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $102.33	Facility		$19.05	$19.05	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $524.81 / $524.81	Professional		$28.84	$524.81	$524.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $91.20	Professional		$87.10	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95