Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,238.72	Facility		$1,905.46	$1,905.46	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $6,309.57	Professional		$1,905.46	$3,090.30	$6,309.57
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 $2,630.27 / $3,548.13 / $4,897.79	Professional		$2,630.27	$3,548.13	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $4,570.88	Professional		$2,041.74	$2,570.40	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $9,120.11	Professional		$3,235.94	$3,235.94	$9,120.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,454.71	Professional		$2,290.87	$2,290.87	$2,454.71
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 $2,238.72 / $3,090.30 / $5,248.07	Professional		$2,238.72	$3,090.30	$5,248.07