Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $4,466.84 / $10,715.19	Facility		$380.19	$4,466.84	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	50	$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,023.29 / $8,128.31	Professional		$316.23	$1,023.29	$8,128.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $512.86 / $794.33	Professional	50	$512.86	$512.86	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $25,703.96 / $56,234.13	Facility		$16,982.44	$25,703.96	$56,234.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,148.15 / $6,606.93	Professional		$354.81	$1,148.15	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $660.69 / $7,762.47	Professional	50	$660.69	$660.69	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $870.96 / $6,456.54	Professional		$426.58	$870.96	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $4,897.79 / $19,498.45	Professional		$380.19	$4,897.79	$19,498.45
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,311.31 / $3,467.37	Professional		$269.15	$3,311.31	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $20,892.96 / $36,307.81	Facility		$13,489.63	$20,892.96	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $2,630.27 / $7,079.46	Professional		$436.52	$2,630.27	$7,079.46