Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,495.41 / $10,715.19	Facility		$1,288.25	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $4,168.69	Professional		$1,000.00	$1,288.25	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,549.93 / $17,378.01	Facility		$4,570.88	$9,549.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,949.84	Professional		$1,122.02	$1,412.54	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,041.74	Professional		$1,174.90	$1,548.82	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $5,888.44	Professional		$1,288.25	$1,288.25	$5,888.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,000.00	Professional		$912.01	$912.01	$1,000.00
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 $1,202.26 / $1,548.82 / $2,511.89	Professional		$1,202.26	$1,548.82	$2,511.89