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 $1,288.25 / $1,479.11 / $2,818.38	Professional		$1,288.25	$1,479.11	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,481.54 / $23,988.33	Facility		$6,025.60	$11,481.54	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,630.27	Professional		$1,412.54	$1,819.70	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $2,137.96	Facility		$794.33	$794.33	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,754.23	Professional		$1,380.38	$1,862.09	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $5,495.41	Professional		$1,318.26	$1,862.09	$5,495.41
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,380.38	Professional		$1,318.26	$1,318.26	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,754.40 / $9,549.93	Facility		$2,238.72	$5,754.40	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,090.30	Professional		$1,412.54	$1,995.26	$3,090.30