Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $58.88 / $173.78	Facility		$21.38	$58.88	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $24.55	Professional		$20.89	$20.89	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.44 / $117.49	Facility		$21.38	$23.44	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $21.38 / $21.38	Professional		$4.68	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $21.38	Facility		$19.95	$19.95	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $23.44	Professional		$8.13	$8.13	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $41.69 / $58.88	Facility		$22.39	$41.69	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $32.36	Professional		$21.38	$21.38	$32.36