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 $2,041.74 / $2,454.71 / $4,677.35	Professional		$2,041.74	$2,454.71	$4,677.35
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 $2,137.96 / $3,019.95 / $4,365.16	Professional		$2,137.96	$3,019.95	$4,365.16
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 $2,187.76 / $3,019.95 / $4,570.88	Professional		$2,187.76	$3,019.95	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $8,709.64	Professional		$2,089.30	$2,951.21	$8,709.64
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,290.87	Professional		$2,089.30	$2,089.30	$2,290.87
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 $2,238.72 / $3,162.28 / $5,011.87	Professional		$2,238.72	$3,162.28	$5,011.87