Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $11,748.98	Facility		$3,162.28	$5,495.41	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,570.40	Professional		$1,023.29	$1,258.93	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,481.54 / $23,988.33	Facility		$6,025.60	$11,481.54	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,995.26	Professional		$1,148.15	$1,479.11	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,089.30	Professional		$1,202.26	$1,584.89	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $5,011.87	Professional		$1,318.26	$1,318.26	$5,011.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,047.13	Professional		$933.25	$933.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,760.83 / $12,882.50	Facility		$2,630.27	$6,760.83	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,691.53	Professional		$1,202.26	$1,584.89	$2,691.53