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 $1,202.26 / $1,380.38 / $2,630.27	Professional		$1,202.26	$1,380.38	$2,630.27
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 $1,288.25 / $1,737.80 / $2,511.89	Professional		$1,288.25	$1,737.80	$2,511.89
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 $1,288.25 / $1,737.80 / $2,570.40	Professional		$1,288.25	$1,737.80	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $5,128.61	Professional		$1,258.93	$1,819.70	$5,128.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Professional		$1,258.93	$1,258.93	$1,318.26
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 $1,288.25 / $1,819.70 / $2,884.03	Professional		$1,288.25	$1,819.70	$2,884.03