Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,495.41 / $10,715.19	Facility		$2,089.30	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $2,570.40	Professional		$977.24	$1,096.48	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $15,135.61 / $28,183.83	Facility		$7,762.47	$15,135.61	$28,183.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,995.26	Professional		$1,148.15	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,041.74	Professional		$1,071.52	$1,548.82	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $3,801.89	Professional		$1,348.96	$1,380.38	$3,801.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Professional		$977.24	$977.24	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $13,803.84 / $23,988.33	Facility		$10,471.29	$13,803.84	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,570.40	Professional		$1,122.02	$1,479.11	$2,570.40