Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $29.51 / $60.26	Facility		$14.13	$29.51	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.38	Professional		$14.13	$14.13	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.54 / $45.71	Facility		$21.38	$27.54	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $19.50	Facility		$13.49	$13.49	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $51.29	Professional		$14.13	$21.38	$51.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Professional		$14.13	$14.13	$15.14