Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,691.53 / $7,585.78	Facility		$389.05	$2,691.53	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $288.40 / $3,801.89 / $4,073.80	Facility	50	$288.40	$3,801.89	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $851.14 / $2,754.23	Professional		$295.12	$851.14	$2,754.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $794.33 / $4,570.88	Professional	50	$371.54	$794.33	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,148.15 / $2,691.53	Professional		$346.74	$1,148.15	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $1,949.84 / $3,019.95	Professional	50	$467.74	$1,949.84	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $977.24 / $3,090.30	Professional		$363.08	$977.24	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,737.80 / $2,238.72	Professional		$363.08	$1,737.80	$2,238.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,348.96 / $1,513.56	Professional		$257.04	$1,348.96	$1,513.56
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 $346.74 / $1,348.96 / $3,090.30	Professional		$346.74	$1,348.96	$3,090.30