Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,162.28 / $6,165.95	Facility		$537.03	$3,162.28	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $8,317.64 / $8,317.64	Facility	50	$2,511.89	$8,317.64	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,230.27	Professional		$389.05	$549.54	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $1,412.54 / $1,949.84	Professional	50	$676.08	$1,412.54	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,456.54 / $10,964.78	Facility		$3,467.37	$6,456.54	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,000.00	Professional		$489.78	$630.96	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $812.83 / $1,000.00	Professional	50	$575.44	$812.83	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,318.26 / $4,168.69	Facility		$741.31	$1,318.26	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $870.96	Professional		$446.68	$588.84	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,862.09	Professional		$436.52	$616.60	$1,862.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $776.25	Professional		$436.52	$457.09	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,585.78 / $13,182.57	Facility		$5,011.87	$7,585.78	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,071.52	Professional		$426.58	$575.44	$1,071.52