Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $537.03	Facility		$19.95	$19.95	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $24.55	Professional		$19.95	$19.95	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $21.88 / $109.65	Facility		$19.95	$21.88	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $19.95	Professional		$15.14	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Facility		$19.05	$19.05	$19.95
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 $13.80 / $13.80 / $75.86	Professional		$13.80	$13.80	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $181.97	Facility		$69.18	$128.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $173.78	Professional		$19.95	$19.95	$173.78