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 $660.69 / $812.83 / $1,513.56	Professional		$660.69	$812.83	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,549.93 / $17,378.01	Facility		$4,570.88	$9,549.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,698.24	Professional		$870.96	$1,174.90	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,621.81	Professional		$831.76	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $4,570.88	Professional		$977.24	$1,318.26	$4,570.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,096.48	Professional		$676.08	$891.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,128.31 / $16,595.87	Facility		$3,548.13	$8,128.31	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,737.80	Professional		$794.33	$1,071.52	$1,737.80