Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $10,715.19	Facility		$2,570.40	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $2,951.21	Professional		$1,096.48	$1,202.26	$2,951.21
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 $1,318.26 / $1,698.24 / $2,630.27	Professional		$1,318.26	$1,698.24	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,511.89	Professional		$1,202.26	$1,584.89	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $4,786.30	Professional		$1,380.38	$1,949.84	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,187.76	Professional		$1,174.90	$1,380.38	$2,187.76
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 $1,202.26 / $1,584.89 / $2,884.03	Professional		$1,202.26	$1,584.89	$2,884.03