Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,235.94 / $7,762.47	Facility		$169.82	$3,235.94	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $8,128.31 / $8,128.31	Facility	50	$1,513.56	$8,128.31	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $302.00	Professional		$107.15	$181.97	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $263.03	Professional	50	$72.44	$72.44	$263.03
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 $125.89 / $162.18 / $223.87	Professional		$125.89	$162.18	$223.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $229.09 / $251.19	Professional	50	$190.55	$229.09	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $346.74	Professional		$128.82	$208.93	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $588.84	Professional		$147.91	$275.42	$588.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $194.98	Professional		$104.71	$186.21	$194.98
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 $125.89 / $213.80 / $371.54	Professional		$125.89	$213.80	$371.54