Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,232.93 / $20,417.38	Facility		$4,786.30	$10,232.93	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,760.83	Professional		$4,786.30	$4,786.30	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $9,332.54 / $15,488.17	Facility		$7,244.36	$9,332.54	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $6,309.57	Facility		$4,466.84	$4,466.84	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,918.31 / $6,918.31	Professional		$6,760.83	$6,918.31	$6,918.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $4,786.30	Professional		$4,365.16	$4,786.30	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30