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 $1,230.27 / $1,445.44 / $2,754.23	Professional		$1,230.27	$1,445.44	$2,754.23
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 $1,288.25 / $1,778.28 / $2,630.27	Professional		$1,288.25	$1,778.28	$2,630.27
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 $1,288.25 / $1,778.28 / $2,691.53	Professional		$1,288.25	$1,778.28	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $5,248.07	Professional		$1,258.93	$1,778.28	$5,248.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,348.96	Professional		$1,258.93	$1,258.93	$1,348.96
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 $1,318.26 / $1,862.09 / $2,951.21	Professional		$1,318.26	$1,862.09	$2,951.21