Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,495.41 / $10,715.19	Facility		$1,862.09	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,778.28	Professional		$630.96	$794.33	$1,778.28
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 $794.33 / $1,047.13 / $1,412.54	Professional		$794.33	$1,047.13	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,445.44	Professional		$794.33	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $3,801.89	Professional		$891.25	$891.25	$3,801.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $724.44	Professional		$630.96	$630.96	$724.44
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 $812.83 / $1,047.13 / $1,778.28	Professional		$812.83	$1,047.13	$1,778.28