Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,454.71	Professional		$1,174.90	$1,737.80	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,344.23 / $2,398.83	Professional		$2,290.87	$2,344.23	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,019.95	Professional		$1,584.89	$1,862.09	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $3,235.94	Professional		$3,162.28	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,548.82 / $2,454.71	Facility		$186.21	$1,548.82	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,570.40	Professional		$1,548.82	$1,819.70	$2,570.40