Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $1,380.38	Facility		$794.33	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,380.38	Professional		$691.83	$891.25	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $3,548.13	Facility		$1,621.81	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Professional		$870.96	$870.96	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $977.24	Professional		$660.69	$660.69	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $3,548.13	Professional		$977.24	$1,621.81	$3,548.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,621.81	Professional		$1,513.56	$1,621.81	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,122.02	Facility		$630.96	$954.99	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,122.02	Professional		$660.69	$724.44	$1,122.02