Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,096.48 / $5,495.41	Facility		$104.71	$1,096.48	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $3,801.89 / $5,248.07	Facility	50	$1,122.02	$3,801.89	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $416.87	Professional		$77.62	$169.82	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $407.38 / $741.31	Professional	50	$120.23	$407.38	$741.31
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 $91.20 / $117.49 / $186.21	Professional		$91.20	$117.49	$186.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $199.53 / $281.84	Professional	50	$97.72	$199.53	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $331.13	Professional		$89.13	$186.21	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $181.97 / $1,122.02	Professional		$74.13	$181.97	$1,122.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $181.97	Professional		$74.13	$165.96	$181.97
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 $85.11 / $173.78 / $316.23	Professional		$85.11	$173.78	$316.23