Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $288.40	Facility		$12.02	$12.02	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $14.13	Professional		$10.96	$12.02	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.05	Facility		$0.02	$0.05	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $18.62	Professional		$14.45	$14.45	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $331.13	Professional		$194.98	$194.98	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $16.22	Professional		$14.45	$14.45	$16.22