Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,981.07 / $8,709.64	Facility		$1,202.26	$3,981.07	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $457.09	Professional		$79.43	$208.93	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $8,511.38	Facility		$2,454.71	$3,467.37	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $512.86	Professional		$97.72	$194.98	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,412.54	Facility		$602.56	$602.56	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $478.63	Professional		$91.20	$199.53	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $338.84 / $630.96	Professional		$81.28	$338.84	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $288.40 / $338.84	Professional		$81.28	$288.40	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $7,079.46	Facility		$1,348.96	$3,981.07	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $478.63	Professional		$89.13	$218.78	$478.63