Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $4,677.35 / $7,413.10	Facility		$239.88	$4,677.35	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $7,413.10 / $7,413.10	Facility	50	$1,659.59	$7,413.10	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $416.87	Professional		$79.43	$199.53	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $371.54 / $660.69	Professional	50	$128.82	$371.54	$660.69
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 $91.20 / $120.23 / $186.21	Professional		$91.20	$120.23	$186.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $128.82 / $194.98	Professional	50	$102.33	$128.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $2,137.96	Facility		$144.54	$144.54	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $194.98 / $398.11	Professional		$89.13	$194.98	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $257.04 / $1,380.38	Professional		$77.62	$257.04	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $229.09 / $380.19	Professional		$77.62	$229.09	$380.19
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 $87.10 / $199.53 / $398.11	Professional		$87.10	$199.53	$398.11