Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $100.00 / $100.00	Facility		$57.54	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $85.11	Professional		$46.77	$57.54	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $117.49 / $223.87	Facility		$104.71	$117.49	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $77.62	Professional		$57.54	$60.26	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $63.10	Professional		$44.67	$44.67	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $158.49	Professional		$61.66	$104.71	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Professional		$100.00	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $48.98 / $57.54	Facility		$29.51	$48.98	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $74.13	Professional		$44.67	$48.98	$74.13