Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,630.27 / $6,025.60	Facility		$75.86	$2,630.27	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	50	$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $218.78	Professional		$57.54	$100.00	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $346.74 / $416.87	Professional	50	$75.86	$346.74	$416.87
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 $64.57 / $83.18 / $128.82	Professional		$64.57	$83.18	$128.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $109.65 / $165.96	Professional	50	$89.13	$109.65	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $537.03 / $1,659.59	Facility		$100.00	$537.03	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $229.09	Professional		$72.44	$123.03	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $407.38	Professional		$53.70	$109.65	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $165.96	Professional		$53.70	$102.33	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $3,890.45	Facility		$1,258.93	$2,398.83	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $229.09	Professional		$70.79	$123.03	$229.09