Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $10,000.00	Facility		$1,584.89	$3,801.89	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,659.59	Professional		$741.31	$831.76	$1,659.59
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 $891.25 / $1,202.26 / $1,862.09	Professional		$891.25	$1,202.26	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,011.87 / $15,848.93	Facility		$1,380.38	$5,011.87	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,737.80	Professional		$812.83	$1,071.52	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $3,548.13	Professional		$794.33	$1,122.02	$3,548.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Professional		$794.33	$794.33	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,025.60 / $11,481.54	Facility		$2,630.27	$6,025.60	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,995.26	Professional		$794.33	$1,071.52	$1,995.26