Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $10,715.19	Facility		$3,162.28	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,890.45	Professional		$1,659.59	$1,659.59	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,332.54 / $17,378.01	Facility		$4,786.30	$9,332.54	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,290.87	Professional		$1,148.15	$1,584.89	$2,290.87
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 $478.63 / $602.56 / $707.95	Professional		$478.63	$602.56	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,949.84	Professional		$1,862.09	$1,862.09	$1,949.84
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