Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $3,311.31 / $8,912.51	Facility		$154.88	$3,311.31	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $3,801.89 / $6,760.83	Facility	50	$2,570.40	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $380.19 / $1,122.02	Professional		$100.00	$380.19	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $2,570.40 / $2,570.40	Professional	50	$323.59	$2,570.40	$2,570.40
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 $117.49 / $478.63 / $1,122.02	Professional		$117.49	$478.63	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $223.87 / $1,202.26	Professional	50	$190.55	$223.87	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $1,096.48	Professional		$128.82	$275.42	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $831.76 / $1,288.25	Professional		$123.03	$831.76	$1,288.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $575.44 / $588.84	Professional		$89.13	$575.44	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $3,890.45	Facility		$1,258.93	$2,290.87	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $512.86 / $1,071.52	Professional		$125.89	$512.86	$1,071.52