Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $10,000.00	Facility		$1,584.89	$5,128.61	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,621.81	Professional		$691.83	$776.25	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $20,417.38 / $38,904.51	Facility		$14,125.38	$20,417.38	$38,904.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,698.24	Professional		$831.76	$1,096.48	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,760.83 / $21,379.62	Facility		$1,288.25	$6,760.83	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,621.81	Professional		$660.69	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $2,951.21	Professional		$724.44	$1,023.29	$2,951.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Professional		$724.44	$724.44	$870.96
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 $707.95 / $1,000.00 / $1,862.09	Professional		$707.95	$1,000.00	$1,862.09