Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $13.49	Professional		$10.96	$10.96	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $15.85	Facility		$11.22	$11.22	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $12.30	Professional		$11.75	$11.75	$12.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $190.55 / $213.80	Professional		$30.90	$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 $30.20 / $30.20 / $125.89	Professional		$30.20	$30.20	$125.89