Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,096.48 / $5,888.44	Facility		$89.13	$1,096.48	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $2,344.23 / $5,888.44	Facility	50	$831.76	$2,344.23	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $426.58	Professional		$87.10	$181.97	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $389.05 / $891.25	Professional	50	$134.90	$389.05	$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 $95.50 / $128.82 / $194.98	Professional		$95.50	$128.82	$194.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $141.25 / $229.09	Professional	50	$107.15	$141.25	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $691.83 / $2,137.96	Facility		$154.88	$691.83	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $331.13	Professional		$109.65	$190.55	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $1,819.70	Professional		$83.18	$199.53	$1,819.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $199.53	Professional		$83.18	$177.83	$199.53
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 $97.72 / $190.55 / $354.81	Professional		$97.72	$190.55	$354.81