Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $20.32	Facility		$18.62	$18.62	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $22.34	Professional		$18.62	$18.62	$22.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $31.10 / $64.89	Facility		$17.68	$31.10	$64.89
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 $17.52 / $17.52 / $17.52	Facility		$17.52	$17.52	$17.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $60.00 / $91.00	Professional		$13.31	$60.00	$91.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $23.28	Professional		$18.62	$18.62	$23.28