Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Facility		$100.00	$100.00	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $114.82	Professional		$97.72	$100.00	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $549.54	Facility		$102.33	$109.65	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $114.82	Professional		$31.62	$31.62	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $102.33	Professional		$83.18	$85.11	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $26.92 / $38.02	Facility		$14.79	$26.92	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $128.82	Professional		$102.33	$102.33	$128.82