Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $7,413.10	Facility		$691.83	$3,090.30	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,344.23 / $6,025.60 / $6,025.60	Facility	50	$2,344.23	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,230.27	Professional		$426.58	$575.44	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional	50	$2,238.72	$2,238.72	$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 $478.63 / $630.96 / $912.01	Professional		$478.63	$630.96	$912.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $812.83 / $1,122.02	Professional	50	$741.31	$812.83	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $977.24	Professional		$457.09	$660.69	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $2,089.30	Professional		$575.44	$851.14	$2,089.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,047.13	Professional		$407.38	$588.84	$1,047.13
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 $478.63 / $691.83 / $1,148.15	Professional		$478.63	$691.83	$1,148.15