Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $10,000.00	Facility		$1,584.89	$5,128.61	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,951.21	Professional		$891.25	$1,148.15	$2,951.21
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 $1,023.29 / $1,318.26 / $1,819.70	Professional		$1,023.29	$1,318.26	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,905.46	Professional		$1,071.52	$1,412.54	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $3,630.78	Professional		$1,174.90	$1,202.26	$3,630.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $933.25	Professional		$851.14	$851.14	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,128.31 / $16,595.87	Facility		$3,548.13	$8,128.31	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,454.71	Professional		$1,096.48	$1,412.54	$2,454.71