Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,238.72 / $7,585.78	Facility		$302.00	$2,238.72	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $758.58	Professional		$263.03	$407.38	$758.58
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $309.03 / $436.52 / $602.56	Professional	54	$309.03	$436.52	$602.56
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 $309.03 / $426.58 / $645.65	Professional		$309.03	$426.58	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $501.19 / $575.44	Facility		$186.21	$501.19	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $602.56	Professional		$269.15	$389.05	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $2,511.89	Professional		$309.03	$436.52	$2,511.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $354.81	Professional		$295.12	$316.23	$354.81
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 $263.03 / $371.54 / $660.69	Professional		$263.03	$371.54	$660.69