Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,311.31 / $7,762.47	Facility		$234.42	$3,311.31	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $537.03	Professional		$83.18	$194.98	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $323.59 / $831.76	Professional	50	$125.89	$323.59	$831.76
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 $89.13 / $199.53 / $371.54	Professional		$89.13	$199.53	$371.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $416.87	Professional	50	$251.19	$251.19	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $346.74	Professional		$112.20	$181.97	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $302.00 / $562.34	Professional		$93.33	$302.00	$562.34
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $199.53 / $213.80	Professional		$66.07	$199.53	$213.80
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 $114.82 / $204.17 / $398.11	Professional		$114.82	$204.17	$398.11