Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $5,370.32 / $10,715.19	Facility		$309.03	$5,370.32	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $467.74	Professional		$154.88	$263.03	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $8,511.38	Facility		$2,454.71	$3,467.37	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $371.54	Professional		$186.21	$239.88	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $281.84 / $380.19	Facility		$120.23	$281.84	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $524.81	Professional		$186.21	$295.12	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $977.24	Professional		$162.18	$346.74	$977.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $346.74	Professional		$162.18	$302.00	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,691.53	Facility		$676.08	$1,479.11	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $549.54	Professional		$181.97	$295.12	$549.54