Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,495.41 / $21,379.62	Facility		$3,090.30	$5,495.41	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,754.23	Professional		$1,096.48	$1,348.96	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,772.37 / $17,378.01	Facility		$4,786.30	$9,772.37	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,137.96	Professional		$1,202.26	$1,548.82	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,187.76	Professional		$1,258.93	$1,659.59	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $4,786.30	Professional		$1,380.38	$1,412.54	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,096.48	Professional		$977.24	$977.24	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,079.46 / $23,442.29	Facility		$2,630.27	$7,079.46	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,754.23	Professional		$1,288.25	$1,698.24	$2,754.23