Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $28.18 / $57.54	Facility		$13.80	$28.18	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $18.20	Professional		$12.88	$12.88	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.92 / $43.65	Facility		$20.42	$26.92	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $19.95	Facility		$12.88	$12.88	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $85.11	Professional		$13.80	$20.42	$85.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $14.45	Professional		$13.80	$13.80	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $14.45	Professional		$13.80	$13.80	$14.45