Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $14,791.08	Facility		$1,318.26	$3,548.13	$14,791.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	50	$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,570.40	Professional		$794.33	$1,148.15	$2,570.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,479.11 / $4,570.88	Professional	50	$1,230.27	$1,479.11	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,549.93 / $17,378.01	Facility		$4,570.88	$9,549.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,089.30	Professional		$1,096.48	$1,445.44	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,659.59 / $1,819.70 / $2,238.72	Professional	50	$1,659.59	$1,819.70	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,778.28	Professional		$851.14	$1,230.27	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $3,801.89	Professional		$1,318.26	$1,348.96	$3,801.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,698.24	Professional		$933.25	$1,000.00	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,128.31 / $16,595.87	Facility		$3,548.13	$8,128.31	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,089.30	Professional		$912.01	$1,230.27	$2,089.30