Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $1,819.70 / $7,413.10	Facility		$54.95	$1,819.70	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $154.88	Professional		$41.69	$70.79	$154.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	52	$21.88	$21.88	$21.88
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 $54.95 / $89.13 / $144.54	Professional		$54.95	$89.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $134.90	Professional		$57.54	$89.13	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $186.21	Professional		$56.23	$100.00	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $74.13	Professional		$39.81	$72.44	$74.13
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 $57.54 / $91.20 / $147.91	Professional		$57.54	$91.20	$147.91