Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,495.41 / $10,715.19	Facility		$1,862.09	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $2,187.76	Professional		$794.33	$1,288.25	$2,187.76
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 $1,122.02 / $1,698.24 / $2,691.53	Professional		$1,122.02	$1,698.24	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,290.87	Professional		$1,023.29	$1,584.89	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $6,760.83	Professional		$1,122.02	$2,137.96	$6,760.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,479.11 / $1,905.46	Professional		$794.33	$1,479.11	$1,905.46
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 $1,000.00 / $1,659.59 / $2,884.03	Professional		$1,000.00	$1,659.59	$2,884.03