Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $1,202.26 / $7,413.10	Facility		$19.50	$1,202.26	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $54.95 / $131.83	Professional		$14.13	$54.95	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $8,511.38	Facility		$2,454.71	$3,467.37	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $57.54 / $134.90	Professional		$19.05	$57.54	$134.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $100.00 / $147.91	Professional	50	$30.20	$100.00	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $45.71 / $107.15	Professional		$18.20	$45.71	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $104.71 / $154.88	Professional		$19.50	$104.71	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $67.61 / $74.13	Professional		$13.80	$67.61	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,691.53	Facility		$676.08	$1,479.11	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $47.86 / $102.33	Professional		$18.20	$47.86	$102.33