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 $2,691.53 / $3,162.28 / $6,025.60	Professional		$2,691.53	$3,162.28	$6,025.60
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 $2,818.38 / $3,890.45 / $5,754.40	Professional		$2,818.38	$3,890.45	$5,754.40
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 $2,290.87 / $3,890.45 / $6,025.60	Professional		$2,290.87	$3,890.45	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $11,481.54	Professional		$2,754.23	$3,890.45	$11,481.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,951.21	Professional		$2,754.23	$2,754.23	$2,951.21
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 $2,754.23 / $4,168.69 / $6,606.93	Professional		$2,754.23	$4,168.69	$6,606.93