Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.62 / $28.18	Facility		$18.20	$18.62	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $21.88	Professional		$18.20	$18.20	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.20 / $102.33	Facility		$18.62	$30.20	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $18.62	Facility		$17.38	$17.38	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $52.48 / $87.10	Professional		$15.49	$52.48	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $33.88 / $47.86	Facility		$17.38	$33.88	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $23.99	Professional		$18.62	$18.62	$23.99