Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,495.41 / $14,454.40	Facility		$3,090.30	$5,495.41	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $190.55	Professional		$67.61	$87.10	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,760.83 / $10,964.78	Facility		$3,467.37	$6,760.83	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $131.83	Professional		$74.13	$95.50	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $138.04	Professional		$79.43	$104.71	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $407.38 / $407.38	Professional		$83.18	$407.38	$407.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Professional		$57.54	$57.54	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,079.46 / $16,595.87	Facility		$2,630.27	$7,079.46	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $173.78	Professional		$81.28	$104.71	$173.78