Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $158.49 / $1,071.52	Facility		$8.51	$158.49	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $75.86	Professional		$3.98	$5.01	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $9.55 / $18.20	Facility		$7.24	$9.55	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $6.31	Facility		$4.57	$4.57	$6.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $28.18 / $28.18	Professional		$6.92	$28.18	$28.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.90	Professional		$4.79	$4.79	$4.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79