Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $346.74 / $1,258.93	Facility		$64.57	$346.74	$1,258.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	50	$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $173.78	Professional		$39.81	$77.62	$173.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $97.72 / $107.15	Professional	50	$97.72	$97.72	$107.15
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 / $58.88 / $91.20	Professional		$44.67	$58.88	$91.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $64.57 / $89.13	Professional	50	$56.23	$64.57	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $123.03	Professional		$47.86	$72.44	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $295.12	Professional		$41.69	$83.18	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $83.18	Professional		$40.74	$69.18	$83.18
Select Health Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	50	$199.53	$199.53	$199.53
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 $44.67 / $72.44 / $125.89	Professional		$44.67	$72.44	$125.89