Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,318.26 / $7,762.47	Facility		$89.13	$1,318.26	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	50	$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $245.47	Professional		$51.29	$91.20	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $251.19 / $524.81	Professional	50	$114.82	$251.19	$524.81
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 $61.66 / $100.00 / $169.82	Professional		$61.66	$100.00	$169.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $95.50 / $169.82	Professional	50	$66.07	$95.50	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $229.09	Facility		$72.44	$89.13	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $154.88	Professional		$63.10	$97.72	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $323.59	Professional		$44.67	$97.72	$323.59
Select Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $97.72	Professional		$44.67	$89.13	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $3,890.45	Facility		$1,258.93	$2,398.83	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $165.96	Professional		$61.66	$97.72	$165.96