Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $3,019.95 / $7,762.47	Facility		$158.49	$3,019.95	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	50	$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $331.13	Professional		$100.00	$144.54	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $281.84 / $575.44	Professional	50	$169.82	$281.84	$575.44
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 $123.03 / $162.18 / $234.42	Professional		$123.03	$162.18	$234.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $204.17 / $275.42	Professional	50	$190.55	$204.17	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $229.09	Professional		$104.71	$151.36	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $478.63	Professional		$151.36	$194.98	$478.63
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $147.91	Professional		$107.15	$131.83	$147.91
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 $112.20 / $158.49 / $263.03	Professional		$112.20	$158.49	$263.03