Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,318.26 / $6,456.54	Facility		$158.49	$1,318.26	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $1,659.59 / $5,128.61	Facility	50	$758.58	$1,659.59	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $467.74	Professional		$102.33	$199.53	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $537.03 / $891.25	Professional	50	$208.93	$537.03	$891.25
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 $112.20 / $147.91 / $223.87	Professional		$112.20	$147.91	$223.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $165.96 / $269.15	Professional	50	$128.82	$165.96	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $691.83 / $2,137.96	Facility		$177.83	$691.83	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $363.08	Professional		$125.89	$213.80	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $2,041.74	Professional		$95.50	$213.80	$2,041.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $213.80	Professional		$95.50	$190.55	$213.80
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 $117.49 / $213.80 / $389.05	Professional		$117.49	$213.80	$389.05