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 $2,041.74 / $2,511.89 / $6,165.95	Professional		$2,041.74	$2,511.89	$6,165.95
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 $2,187.76 / $2,754.23 / $3,890.45	Professional		$2,187.76	$2,754.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $4,168.69	Professional		$2,398.83	$3,090.30	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $8,128.31	Professional		$2,630.27	$8,128.31	$8,128.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,995.26	Professional		$1,862.09	$1,862.09	$1,995.26
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 $2,630.27 / $3,388.44 / $5,495.41	Professional		$2,630.27	$3,388.44	$5,495.41