Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,370.32 / $10,715.19	Facility		$3,090.30	$5,370.32	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $4,677.35	Professional		$1,621.81	$1,905.46	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $18,197.01 / $32,359.37	Facility		$11,481.54	$18,197.01	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,019.95	Professional		$1,698.24	$2,187.76	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,235.94	Professional		$1,819.70	$2,398.83	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,309.57 / $6,309.57	Professional		$2,137.96	$6,309.57	$6,309.57
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,584.89	Professional		$1,513.56	$1,513.56	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,760.83 / $12,882.50	Facility		$2,630.27	$6,760.83	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $4,168.69	Professional		$1,862.09	$2,454.71	$4,168.69