Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $47.04	Facility		$19.20	$19.20	$47.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $21.12	Professional		$19.20	$19.20	$21.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $38.49 / $62.02	Facility		$18.23	$38.49	$62.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.87 / $25.74	Professional		$16.19	$16.87	$25.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $19.20 / $29.24	Facility		$10.48	$19.20	$29.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $30.89	Professional		$25.74	$25.74	$30.89