Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $39.81 / $77.62	Facility		$18.20	$39.81	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $25.12	Professional		$18.20	$18.20	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $31.62 / $64.57	Facility		$19.95	$31.62	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $23.99	Facility		$17.38	$17.38	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $63.10 / $63.10	Professional		$26.30	$63.10	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $18.62	Professional		$16.60	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20