Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $10,715.19	Facility		$2,754.23	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $3,388.44	Professional		$1,148.15	$1,288.25	$3,388.44
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 $1,412.54 / $1,819.70 / $2,884.03	Professional		$1,412.54	$1,819.70	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,691.53	Professional		$1,288.25	$1,698.24	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $5,128.61	Professional		$1,148.15	$1,621.81	$5,128.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,949.84	Professional		$1,148.15	$1,148.15	$1,949.84
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 $1,258.93 / $1,659.59 / $3,162.28	Professional		$1,258.93	$1,659.59	$3,162.28