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 $630.96 / $724.44 / $1,318.26	Professional		$630.96	$724.44	$1,318.26
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 $724.44 / $1,000.00 / $1,513.56	Professional		$724.44	$1,000.00	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $5,370.32	Facility		$1,174.90	$1,737.80	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,445.44	Professional		$562.34	$912.01	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $2,187.76	Professional		$645.65	$912.01	$2,187.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $794.33	Professional		$645.65	$645.65	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $7,079.46	Facility		$1,479.11	$4,168.69	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $891.25 / $1,737.80	Professional		$489.78	$891.25	$1,737.80