Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $275.42 / $691.83	Facility		$64.57	$275.42	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $181.97	Professional		$48.98	$81.28	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $436.52 / $524.81	Professional	50	$154.88	$436.52	$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 $53.70 / $70.79 / $109.65	Professional		$53.70	$70.79	$109.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $83.18 / $120.23	Professional	50	$69.18	$83.18	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $204.17	Facility		$85.11	$85.11	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $138.04	Professional		$56.23	$83.18	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $446.68	Professional		$50.12	$85.11	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $85.11	Professional		$50.12	$75.86	$85.11
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 $54.95 / $81.28 / $144.54	Professional		$54.95	$81.28	$144.54