Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,495.41 / $10,715.19	Facility		$1,862.09	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,819.70	Professional		$691.83	$776.25	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $18,197.01 / $29,512.09	Facility		$4,786.30	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,698.24	Professional		$851.14	$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 $776.25 / $1,023.29 / $1,621.81	Professional		$776.25	$1,023.29	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $3,981.07	Professional		$724.44	$1,023.29	$3,981.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,412.54	Professional		$724.44	$724.44	$1,412.54
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 $758.58 / $1,000.00 / $1,862.09	Professional		$758.58	$1,000.00	$1,862.09