Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $40.74	Professional		$30.20	$30.20	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $39.81	Facility		$28.84	$28.84	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Professional		$30.20	$30.20	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $213.80	Professional		$81.28	$190.55	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $134.90	Professional		$123.03	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $125.89	Professional		$45.71	$45.71	$125.89