Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $89.13	Facility		$51.29	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $79.43	Professional		$38.90	$51.29	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $204.17	Facility		$93.33	$107.15	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $66.07	Professional		$45.71	$51.29	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $64.57	Facility		$56.23	$56.23	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $64.57	Professional		$41.69	$41.69	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $204.17	Professional		$56.23	$93.33	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Professional		$91.20	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $41.69 / $47.86	Facility		$0.07	$41.69	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $63.10	Professional		$37.15	$41.69	$63.10