Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,570.40 / $5,495.41	Facility		$724.44	$2,570.40	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,148.15	Professional		$691.83	$933.25	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,388.44 / $5,623.41	Facility		$1,445.44	$3,388.44	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,148.15	Professional		$489.78	$489.78	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $3,019.95	Facility		$616.60	$758.58	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,412.54 / $1,698.24	Professional		$616.60	$1,412.54	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $2,691.53	Professional		$1,621.81	$1,659.59	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,148.15	Professional		$812.83	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83