Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.20 / $30.20	Facility		$16.98	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $21.88	Professional		$12.02	$15.14	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $64.57	Facility		$30.20	$33.88	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $25.70	Professional		$21.88	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $56.23	Professional		$17.78	$30.20	$56.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $30.20	Professional		$27.54	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $14.13 / $17.78	Facility		$0.02	$14.13	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $20.42	Professional		$12.59	$14.13	$20.42