Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $87.10 / $4,168.69	Facility		$20.42	$87.10	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $30.20	Professional		$19.95	$20.42	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $39.81 / $66.07	Facility		$30.90	$39.81	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $25.12	Facility		$19.50	$19.50	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $46.77	Professional		$28.84	$46.77	$46.77
Select Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $20.42	Professional		$17.38	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42