Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $1,778.28	Facility		$1,023.29	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,778.28	Professional		$831.76	$1,148.15	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $4,466.84	Facility		$2,089.30	$2,344.23	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $1,479.11	Professional		$1,096.48	$1,122.02	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,621.81	Professional		$1,148.15	$1,148.15	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $4,365.16	Professional		$1,258.93	$2,089.30	$4,365.16
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,089.30	Professional		$1,995.26	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,412.54	Facility		$812.83	$1,202.26	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,380.38	Professional		$831.76	$912.01	$1,380.38