Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $9.12 / $9.12	Facility		$5.01	$9.12	$9.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $28.84	Professional		$6.03	$10.00	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $8.32 / $23.44	Professional		$4.37	$8.32	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $38.02	Professional		$12.30	$19.50	$38.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.13 / $8.32	Professional		$4.90	$5.13	$8.32