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 $1,122.02 / $1,348.96 / $2,570.40	Professional		$1,122.02	$1,348.96	$2,570.40
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 $1,174.90 / $1,659.59 / $2,454.71	Professional		$1,174.90	$1,659.59	$2,454.71
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 $1,174.90 / $1,621.81 / $2,511.89	Professional		$1,174.90	$1,621.81	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $4,677.35	Professional		$1,202.26	$1,698.24	$4,677.35
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Professional		$1,202.26	$1,202.26	$1,288.25
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 $1,202.26 / $1,698.24 / $2,754.23	Professional		$1,202.26	$1,698.24	$2,754.23