Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $83.18 / $169.82	Facility		$39.81	$83.18	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $56.23	Professional		$39.81	$39.81	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $151.36	Facility		$60.26	$77.62	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $61.66	Facility		$38.02	$38.02	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $43.65	Professional		$39.81	$39.81	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $85.11	Professional		$39.81	$60.26	$85.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $43.65	Professional		$39.81	$39.81	$43.65