Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.39 / $83.18	Facility		$15.85	$22.39	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $25.70	Professional		$15.85	$19.95	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $32.36 / $60.26	Facility		$25.12	$32.36	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $28.84	Professional		$25.12	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $75.86	Facility		$38.90	$54.95	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $141.25	Professional		$14.79	$14.79	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $194.98	Professional		$22.39	$32.36	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $25.12	Facility		$22.39	$22.39	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $34.67	Professional		$10.47	$15.14	$34.67