Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,621.81 / $3,162.28	Facility		$741.31	$1,621.81	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Professional		$741.31	$741.31	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,398.83	Facility		$1,122.02	$1,445.44	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $977.24	Facility		$707.95	$707.95	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $1,698.24	Professional		$1,071.52	$1,698.24	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $741.31	Professional		$676.08	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31