Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $7,079.46 / $10,000.00	Facility		$30.20	$7,079.46	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $45.71	Professional		$30.20	$30.20	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $104.71	Facility		$32.36	$52.48	$104.71
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 $24.55 / $24.55 / $44.67	Facility		$24.55	$24.55	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $125.89 / $125.89	Professional		$42.66	$125.89	$125.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $39.81	Professional		$30.20	$31.62	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $42.66	Professional		$30.20	$42.66	$42.66