Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $8,709.64	Facility		$1,122.02	$3,981.07	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,584.89	Professional		$575.44	$758.58	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,456.54 / $10,964.78	Facility		$3,467.37	$6,456.54	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,230.27	Professional		$645.65	$870.96	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,258.93	Professional		$588.84	$851.14	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,630.27	Professional		$776.25	$1,071.52	$2,630.27
Select Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Professional		$549.54	$741.31	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,754.40 / $12,302.69	Facility		$2,630.27	$5,754.40	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,479.11	Professional		$630.96	$891.25	$1,479.11