Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $61.66 / $61.66	Facility		$34.67	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $52.48	Professional		$26.30	$34.67	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $72.44 / $138.04	Facility		$64.57	$72.44	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $44.67	Professional		$33.11	$33.11	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Professional		$25.70	$25.70	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $109.65	Professional		$38.90	$64.57	$109.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $64.57	Professional		$63.10	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $28.18 / $34.67	Facility		$0.04	$28.18	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $42.66	Professional		$25.12	$28.18	$42.66