Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $18.62	Facility		$12.02	$12.02	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $14.13	Professional		$12.02	$12.02	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $66.07	Facility		$12.02	$19.95	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $12.02	Facility		$11.48	$11.48	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $21.88	Professional		$9.77	$12.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.44 / $33.11	Facility		$12.02	$23.44	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.49	Professional		$12.02	$12.02	$15.49