Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $10,715.19	Facility		$2,454.71	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $5,248.07	Professional		$2,187.76	$2,511.89	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,481.54 / $23,988.33	Facility		$6,025.60	$11,481.54	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $5,495.41	Professional		$2,691.53	$3,548.13	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $5,011.87	Professional		$2,511.89	$3,311.31	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $8,511.38	Professional		$2,137.96	$3,090.30	$8,511.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,715.35	Professional		$2,137.96	$2,137.96	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $18,620.87	Facility		$8,511.38	$12,022.64	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $6,165.95	Professional		$2,454.71	$3,311.31	$6,165.95