Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,495.41 / $10,964.78	Facility		$3,090.30	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,691.53	Professional		$1,148.15	$1,348.96	$2,691.53
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 $1,258.93 / $1,659.59 / $2,454.71	Professional		$1,258.93	$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 $1,230.27 / $1,659.59 / $2,511.89	Professional		$1,230.27	$1,659.59	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $4,897.79	Professional		$1,174.90	$1,659.59	$4,897.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$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 $1,230.27 / $1,737.80 / $2,754.23	Professional		$1,230.27	$1,737.80	$2,754.23