Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $36.31	Facility		$19.95	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $33.11	Professional		$15.85	$19.95	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $45.71 / $87.10	Facility		$40.74	$45.71	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $26.92	Professional		$25.12	$25.12	$26.92
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 / $23.44	Professional		$16.22	$16.22	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $100.00	Professional		$24.55	$40.74	$100.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $61.66	Professional		$39.81	$40.74	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $25.70 / $30.90	Facility		$0.03	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $28.18	Professional		$16.22	$19.50	$28.18