Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $9,120.11 / $33,884.42	Facility		$1,905.46	$9,120.11	$33,884.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,549.93 / $39,810.72 / $53,703.18	Facility	50	$9,549.93	$39,810.72	$53,703.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,698.24 / $4,466.84	Professional		$645.65	$1,698.24	$4,466.84
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $354.81 / $724.44	Professional	AS	$169.82	$354.81	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $35,481.34 / $66,069.34	Facility		$16,982.44	$35,481.34	$66,069.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,884.03	Professional		$1,445.44	$1,862.09	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $208.93 / $213.80 / $346.74	Professional	AS	$208.93	$213.80	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $13,182.57 / $41,686.94	Facility		$2,187.76	$13,182.57	$41,686.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,090.30	Professional		$1,412.54	$1,905.46	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $4,677.35	Professional		$1,174.90	$1,659.59	$4,677.35
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,454.71	Professional		$1,174.90	$1,174.90	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $28,183.83 / $38,018.94	Facility		$15,135.61	$28,183.83	$38,018.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,235.94	Professional		$1,479.11	$1,949.84	$3,235.94