Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $371.54 / $7,413.10	Facility		$33.88	$371.54	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $87.10	Professional		$28.84	$42.66	$87.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $30.20 / $251.19	Professional	50	$30.20	$30.20	$251.19
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 $31.62 / $40.74 / $60.26	Professional		$31.62	$40.74	$60.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $51.29 / $104.71	Professional	50	$46.77	$51.29	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $87.10	Professional		$33.88	$50.12	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $194.98	Professional		$34.67	$40.74	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $45.71	Professional		$25.12	$28.84	$45.71
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 $38.02 / $56.23 / $91.20	Professional		$38.02	$56.23	$91.20