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 $1,412.54 / $1,659.59 / $4,265.80	Professional		$1,412.54	$1,659.59	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,220.18 / $23,988.33	Facility		$6,025.60	$11,220.18	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,691.53	Professional		$1,513.56	$1,905.46	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $2,884.03	Professional		$1,737.80	$2,137.96	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,623.41 / $5,623.41	Professional		$1,819.70	$5,623.41	$5,623.41
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,380.38	Professional		$1,288.25	$1,288.25	$1,380.38
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 $1,819.70 / $2,344.23 / $3,801.89	Professional		$1,819.70	$2,344.23	$3,801.89