Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,370.32 / $8,912.51	Facility		$758.58	$5,370.32	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $7,244.36 / $8,709.64	Facility	50	$4,168.69	$7,244.36	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,862.09	Professional		$549.54	$776.25	$1,862.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $977.24 / $3,090.30	Professional	50	$794.33	$977.24	$3,090.30
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 $616.60 / $812.83 / $1,174.90	Professional		$616.60	$812.83	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $1,047.13 / $1,445.44	Professional	50	$954.99	$1,047.13	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,230.27	Professional		$575.44	$851.14	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,454.71	Professional		$724.44	$1,071.52	$2,454.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,096.48	Professional		$524.81	$758.58	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,754.40 / $12,302.69	Facility		$2,630.27	$5,754.40	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,479.11	Professional		$602.56	$870.96	$1,479.11