Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $34.67 / $34.67	Facility		$19.05	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $30.20	Professional		$14.79	$19.05	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $77.62	Facility		$36.31	$40.74	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $25.12	Professional		$18.62	$18.62	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $25.70	Professional		$17.78	$17.78	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $64.57	Professional		$21.88	$36.31	$64.57
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $36.31 / $36.31	Professional		$35.48	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $15.85 / $19.50	Facility		$0.03	$15.85	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $23.44	Professional		$14.13	$15.85	$23.44