Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $32.36 / $64.57	Facility		$15.14	$32.36	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $29.51	Professional		$15.14	$15.14	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $47.86	Facility		$22.39	$29.51	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $19.95	Facility		$14.13	$14.13	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $37.15	Professional		$21.38	$37.15	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14