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 $1,000.00 / $1,202.26 / $2,344.23	Professional		$1,000.00	$1,202.26	$2,344.23
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 $1,071.52 / $1,479.11 / $2,187.76	Professional		$1,071.52	$1,479.11	$2,187.76
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 $1,071.52 / $1,479.11 / $2,238.72	Professional		$1,071.52	$1,479.11	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,630.78	Professional		$1,122.02	$1,584.89	$3,630.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $1,148.15	Professional		$1,096.48	$1,122.02	$1,148.15
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 $1,071.52 / $1,548.82 / $2,454.71	Professional		$1,071.52	$1,548.82	$2,454.71