Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $27.54 / $8,317.64	Facility		$12.88	$27.54	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $23.99	Professional		$12.02	$12.88	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $40.74	Facility		$19.05	$25.12	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $19.50	Facility		$12.02	$12.02	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.18	Professional		$12.88	$12.88	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $67.61	Professional		$12.88	$19.50	$67.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Professional		$12.88	$12.88	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Professional		$12.88	$12.88	$13.49