Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $891.25 / $6,456.54	Facility		$57.54	$891.25	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $186.21	Professional		$38.90	$74.13	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $26.30 / $107.15 / $204.17	Professional	50	$26.30	$107.15	$204.17
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 $45.71 / $70.79 / $112.20	Professional		$45.71	$70.79	$112.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $87.10 / $141.25	Professional	50	$48.98	$87.10	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $131.83	Facility		$41.69	$66.07	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $109.65	Professional		$47.86	$67.61	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $61.66 / $245.47	Professional		$33.11	$61.66	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $74.13	Professional		$33.11	$57.54	$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 $46.77 / $67.61 / $114.82	Professional		$46.77	$67.61	$114.82