Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $10,000.00	Facility		$1,584.89	$5,128.61	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $1,445.44 / $3,090.30	Professional		$120.23	$1,445.44	$3,090.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional	50	$5,370.32	$5,370.32	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,456.54 / $10,964.78	Facility		$3,467.37	$6,456.54	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $457.09 / $2,511.89	Professional		$138.04	$457.09	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $239.88 / $2,951.21	Professional	50	$239.88	$239.88	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $2,630.27	Professional		$154.88	$288.40	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,949.84 / $2,951.21	Professional		$147.91	$1,949.84	$2,951.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,230.27 / $1,348.96	Professional		$104.71	$1,230.27	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $7,079.46	Facility		$1,479.11	$4,168.69	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,258.93 / $2,951.21	Professional		$165.96	$1,258.93	$2,951.21