Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,122.02	Facility		$645.65	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,023.29	Professional		$537.03	$660.69	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $2,511.89	Facility		$1,174.90	$1,318.26	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $912.01	Professional		$660.69	$707.95	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $758.58	Professional		$524.81	$524.81	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $1,995.26	Professional		$691.83	$1,174.90	$1,995.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,174.90	Professional		$1,148.15	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $758.58	Facility		$524.81	$616.60	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $851.14	Professional		$512.86	$575.44	$851.14