Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $2,454.71	Facility		$1,412.54	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,089.30	Professional		$1,071.52	$1,412.54	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $5,623.41	Facility		$2,570.40	$2,884.03	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,737.80	Professional		$1,288.25	$1,318.26	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,737.80	Professional		$1,174.90	$1,174.90	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $4,168.69	Professional		$1,548.82	$2,570.40	$4,168.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $2,570.40	Professional		$2,398.83	$2,570.40	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1,096.48 / $1,380.38	Facility		$1.78	$1,096.48	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,659.59	Professional		$1,000.00	$1,096.48	$1,659.59