Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,801.89 / $8,912.51	Facility		$645.65	$3,801.89	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,071.52	Professional		$398.11	$537.03	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,862.09 / $2,238.72	Professional	50	$616.60	$1,862.09	$2,238.72
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 $446.68 / $588.84 / $851.14	Professional		$446.68	$588.84	$851.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $758.58 / $1,023.29	Professional	50	$691.83	$758.58	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $912.01	Professional		$416.87	$602.56	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $2,041.74	Professional		$537.03	$794.33	$2,041.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $954.99	Professional		$389.05	$537.03	$954.99
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 $436.52 / $616.60 / $1,071.52	Professional		$436.52	$616.60	$1,071.52