Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $10,000.00	Facility		$1,584.89	$5,128.61	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $309.03	Professional		$112.20	$181.97	$309.03
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 $154.88 / $239.88 / $389.05	Professional		$154.88	$239.88	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $309.03	Professional		$141.25	$199.53	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $660.69	Professional		$162.18	$302.00	$660.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $213.80	Professional		$112.20	$204.17	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $3,890.45	Facility		$1,258.93	$2,290.87	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $371.54	Professional		$134.90	$213.80	$371.54