Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $10,715.19	Facility		$2,754.23	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,235.94	Professional		$1,202.26	$1,513.56	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $25,703.96 / $56,234.13	Facility		$15,848.93	$25,703.96	$56,234.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,570.40	Professional		$1,479.11	$1,905.46	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,691.53	Professional		$1,513.56	$1,995.26	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $7,079.46	Professional		$1,621.81	$1,621.81	$7,079.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,318.26	Professional		$1,148.15	$1,148.15	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $20,417.38	Facility		$8,511.38	$12,022.64	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,311.31	Professional		$1,479.11	$1,949.84	$3,311.31