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 $794.33 / $891.25 / $1,778.28	Professional		$794.33	$891.25	$1,778.28
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 $977.24 / $1,288.25 / $1,995.26	Professional		$977.24	$1,288.25	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $7,079.46	Facility		$1,445.44	$2,238.72	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,778.28	Professional		$870.96	$1,174.90	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $3,162.28	Professional		$870.96	$1,230.27	$3,162.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,348.96	Professional		$870.96	$870.96	$1,348.96
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 $831.76 / $1,122.02 / $2,041.74	Professional		$831.76	$1,122.02	$2,041.74