Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,981.07 / $8,709.64	Facility		$1,202.26	$3,981.07	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $204.17	Professional		$85.11	$107.15	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	50	$131.83	$131.83	$131.83
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 $104.71 / $138.04 / $199.53	Professional		$104.71	$138.04	$199.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $177.83 / $234.42	Professional	50	$162.18	$177.83	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $194.98	Professional		$87.10	$125.89	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $478.63	Professional		$131.83	$154.88	$478.63
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $117.49	Professional		$93.33	$104.71	$117.49
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 $97.72 / $134.90 / $213.80	Professional		$97.72	$134.90	$213.80