Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $3,467.37 / $7,762.47	Facility		$134.90	$3,467.37	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $128.82 / $288.40	Professional		$42.66	$128.82	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	50	$97.72	$97.72	$97.72
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 $44.67 / $123.03 / $223.87	Professional		$44.67	$123.03	$223.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $199.53 / $354.81	Professional	50	$194.98	$199.53	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $141.25 / $218.78	Professional		$57.54	$141.25	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $177.83 / $245.47	Professional		$46.77	$177.83	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $114.82 / $125.89	Professional		$33.11	$114.82	$125.89
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 $63.10 / $144.54 / $239.88	Professional		$63.10	$144.54	$239.88