Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $1,348.96	Facility		$19.95	$19.95	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $23.44	Professional		$19.05	$19.95	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.05	Facility		$0.02	$0.05	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $28.18	Professional		$22.91	$28.18	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $66.07 / $109.65	Professional		$27.54	$66.07	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.92 / $38.02	Facility		$13.80	$26.92	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $19.95	Professional		$16.60	$19.50	$19.95