Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $2,570.40 / $6,918.31	Facility		$32.36	$2,570.40	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility	50	$7,762.47	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $60.26 / $346.74	Professional		$23.44	$60.26	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $407.38 / $489.78	Professional	50	$208.93	$407.38	$489.78
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 $26.92 / $35.48 / $79.43	Professional		$26.92	$35.48	$79.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $117.49 / $229.09	Professional	50	$45.71	$117.49	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $302.00	Professional		$32.36	$93.33	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $107.15	Professional		$21.88	$36.31	$107.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $117.49	Professional		$21.88	$35.48	$117.49
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 $33.88 / $93.33 / $281.84	Professional		$33.88	$93.33	$281.84