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 $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $229.09	Facility		$104.71	$120.23	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $72.44	Professional		$53.70	$56.23	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $72.44	Professional		$51.29	$51.29	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $151.36	Professional		$63.10	$104.71	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $104.71	Professional		$102.33	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $45.71 / $57.54	Facility		$0.07	$45.71	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $69.18	Professional		$41.69	$45.71	$69.18