Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,754.40 / $18,197.01	Facility		$2,089.30	$5,754.40	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $4,786.30	Professional		$1,258.93	$1,862.09	$4,786.30
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $186.21 / $363.08 / $724.44	Professional	AS	$186.21	$363.08	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $34,673.69 / $66,069.34	Facility		$15,135.61	$34,673.69	$66,069.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $3,235.94	Professional		$1,584.89	$2,041.74	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $199.53 / $245.47 / $316.23	Professional	AS	$199.53	$245.47	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $20,892.96 / $50,118.72	Facility		$2,454.71	$20,892.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,311.31	Professional		$1,479.11	$1,949.84	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $5,248.07	Professional		$1,318.26	$1,862.09	$5,248.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,754.23	Professional		$1,318.26	$1,318.26	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $22,387.21 / $33,113.11	Facility		$15,135.61	$22,387.21	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,548.13	Professional		$1,513.56	$1,995.26	$3,548.13