Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $10,000.00	Facility		$1,584.89	$5,128.61	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $2,754.23	Professional		$1,047.13	$1,174.90	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,481.54 / $23,988.33	Facility		$6,025.60	$11,481.54	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,570.40	Professional		$1,230.27	$1,659.59	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,623.41 / $17,782.79	Facility		$1,949.84	$5,623.41	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,454.71	Professional		$1,148.15	$1,513.56	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $7,585.78	Professional		$1,047.13	$1,479.11	$7,585.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,318.26	Professional		$1,047.13	$1,047.13	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $18,620.87	Facility		$8,511.38	$12,022.64	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,884.03	Professional		$1,122.02	$1,513.56	$2,884.03