Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $3,090.30 / $9,549.93	Facility		$95.50	$3,090.30	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $2,290.87 / $2,818.38	Facility	50	$2,290.87	$2,290.87	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $257.04	Professional		$58.88	$109.65	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $338.84 / $380.19	Professional	50	$199.53	$338.84	$380.19
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 $67.61 / $89.13 / $144.54	Professional		$67.61	$89.13	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $109.65 / $165.96	Professional	50	$95.50	$109.65	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $295.12	Facility		$109.65	$109.65	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $208.93	Professional		$72.44	$107.15	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $138.04 / $1,412.54	Professional		$61.66	$138.04	$1,412.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $138.04	Professional		$61.66	$114.82	$138.04
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 $67.61 / $107.15 / $213.80	Professional		$67.61	$107.15	$213.80