Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,370.32 / $10,715.19	Facility		$3,090.30	$5,370.32	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $5,128.61	Professional		$1,698.24	$2,187.76	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $20,417.38 / $38,904.51	Facility		$14,125.38	$20,417.38	$38,904.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,630.78	Professional		$2,089.30	$2,691.53	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,801.89	Professional		$1,949.84	$2,818.38	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $12,589.25	Professional		$2,570.40	$2,570.40	$12,589.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Professional		$1,819.70	$1,819.70	$1,905.46
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 $2,089.30 / $2,754.23 / $4,677.35	Professional		$2,089.30	$2,754.23	$4,677.35