Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,089.30 / $7,762.47	Facility		$363.08	$2,089.30	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $2,398.83 / $7,762.47	Facility	50	$794.33	$2,398.83	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $794.33	Professional		$257.04	$457.09	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $549.54 / $1,819.70	Professional	50	$125.89	$549.54	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $18,197.01 / $33,113.11	Facility		$11,481.54	$18,197.01	$33,113.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $831.76	Professional		$295.12	$478.63	$831.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $676.08 / $912.01	Professional	50	$416.87	$676.08	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $794.33	Professional		$323.59	$457.09	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $1,445.44	Professional		$288.40	$630.96	$1,445.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $446.68	Professional		$204.17	$436.52	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,754.40 / $12,302.69	Facility		$2,630.27	$5,754.40	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $933.25	Professional		$316.23	$467.74	$933.25