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 $1,000.00 / $1,174.90 / $2,238.72	Professional		$1,000.00	$1,174.90	$2,238.72
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 $1,047.13 / $1,445.44 / $2,137.96	Professional		$1,047.13	$1,445.44	$2,137.96
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 $1,023.29 / $1,445.44 / $2,187.76	Professional		$1,023.29	$1,445.44	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $4,168.69	Professional		$1,047.13	$1,479.11	$4,168.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
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 $1,047.13 / $1,513.56 / $2,344.23	Professional		$1,047.13	$1,513.56	$2,344.23