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 / $794.33 / $2,137.96	Professional		$691.83	$794.33	$2,137.96
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 $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 / $1,288.25 / $22,908.68	Facility		$1,288.25	$1,288.25	$22,908.68
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 / $4,365.16	Professional		$724.44	$1,023.29	$4,365.16
Select Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,479.11	Professional		$724.44	$724.44	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,317.64 / $15,848.93	Facility		$3,548.13	$8,317.64	$15,848.93
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