Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $3,019.95 / $7,585.78	Facility		$72.44	$3,019.95	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	50	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $229.09	Professional		$48.98	$89.13	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $302.00 / $380.19	Professional	50	$154.88	$302.00	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $109.65	Professional		$54.95	$74.13	$109.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $81.28 / $131.83	Professional	50	$63.10	$81.28	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $165.96	Professional		$63.10	$102.33	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $102.33 / $489.78	Professional		$45.71	$102.33	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $102.33	Professional		$45.71	$89.13	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,691.53	Facility		$676.08	$1,479.11	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $173.78	Professional		$57.54	$102.33	$173.78