Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $912.01	Facility		$691.83	$691.83	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,290.87	Professional		$691.83	$1,148.15	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,949.84	Professional		$954.99	$1,288.25	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,659.59	Professional		$776.25	$1,174.90	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $3,981.07	Professional		$977.24	$1,479.11	$3,981.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,071.52	Professional		$707.95	$1,000.00	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,760.83 / $12,882.50	Facility		$2,630.27	$6,760.83	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,862.09	Professional		$741.31	$1,071.52	$1,862.09