Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,570.40 / $5,888.44	Facility		$169.82	$2,570.40	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility	50	$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $288.40	Professional		$67.61	$147.91	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	50	$426.58	$426.58	$426.58
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 $79.43 / $104.71 / $169.82	Professional		$79.43	$104.71	$169.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $125.89 / $181.97	Professional	50	$109.65	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $457.09	Facility		$123.03	$144.54	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $257.04	Professional		$81.28	$151.36	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $181.97 / $1,412.54	Professional		$66.07	$181.97	$1,412.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $154.88 / $181.97	Professional		$66.07	$154.88	$181.97
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 $74.13 / $141.25 / $251.19	Professional		$74.13	$141.25	$251.19