Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,715.35 / $9,120.11	Facility		$446.68	$3,715.35	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.52 / $4,168.69 / $19,054.61	Facility	50	$1,071.52	$4,168.69	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $933.25 / $3,090.30	Professional		$331.13	$933.25	$3,090.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $691.83 / $4,897.79	Professional	50	$234.42	$691.83	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,481.54 / $23,988.33	Facility		$6,025.60	$11,481.54	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,584.89 / $3,548.13	Professional		$426.58	$1,584.89	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $2,344.23 / $3,801.89	Professional	50	$524.81	$2,344.23	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,445.44 / $3,981.07	Professional		$426.58	$1,445.44	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $3,388.44 / $5,754.40	Professional		$457.09	$3,388.44	$5,754.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,995.26 / $2,398.83	Professional		$323.59	$1,995.26	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $13,803.84 / $23,988.33	Facility		$10,471.29	$13,803.84	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,737.80 / $3,715.35	Professional		$407.38	$1,737.80	$3,715.35