Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,495.41 / $10,715.19	Facility		$2,089.30	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $2,570.40	Professional		$1,148.15	$1,288.25	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $26,915.35 / $56,234.13	Facility		$16,982.44	$26,915.35	$56,234.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,818.38	Professional		$1,380.38	$1,819.70	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,489.63 / $42,657.95	Facility		$2,137.96	$13,489.63	$42,657.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,691.53	Professional		$1,288.25	$1,659.59	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $6,025.60	Professional		$1,174.90	$1,698.24	$6,025.60
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,344.23	Professional		$1,174.90	$1,174.90	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $13,803.84 / $20,417.38	Facility		$10,471.29	$13,803.84	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,090.30	Professional		$1,258.93	$1,698.24	$3,090.30