Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $3,311.31	Professional		$1,096.48	$1,479.11	$3,311.31
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 $1,479.11 / $1,905.46 / $2,630.27	Professional		$1,479.11	$1,905.46	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,691.53	Professional		$1,348.96	$1,995.26	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,623.41	Professional		$1,737.80	$1,737.80	$5,623.41
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,348.96	Professional		$1,230.27	$1,230.27	$1,348.96
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 $1,412.54 / $1,862.09 / $3,090.30	Professional		$1,412.54	$1,862.09	$3,090.30