Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $851.14 / $5,888.44	Facility		$54.95	$851.14	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $436.52 / $1,096.48 / $3,890.45	Facility	50	$436.52	$1,096.48	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $154.88	Professional		$36.31	$69.18	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $158.49 / $251.19	Professional	50	$81.28	$158.49	$251.19
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 $44.67 / $67.61 / $107.15	Professional		$44.67	$67.61	$107.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $85.11 / $128.82	Professional	50	$45.71	$85.11	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $128.82	Facility		$41.69	$63.10	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $102.33	Professional		$44.67	$64.57	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $229.09	Professional		$32.36	$58.88	$229.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
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 $43.65 / $64.57 / $107.15	Professional		$43.65	$64.57	$107.15