Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,495.41 / $10,715.19	Facility		$977.24	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $2,398.83	Professional		$812.83	$977.24	$2,398.83
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 $1,071.52 / $1,380.38 / $2,137.96	Professional		$1,071.52	$1,380.38	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,041.74	Professional		$977.24	$1,288.25	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $3,630.78	Professional		$891.25	$1,288.25	$3,630.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,096.48	Professional		$891.25	$891.25	$1,096.48
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 $954.99 / $1,258.93 / $2,344.23	Professional		$954.99	$1,258.93	$2,344.23