Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $870.96	Facility		$489.78	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $691.83	Professional		$331.13	$489.78	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $2,187.76	Facility		$1,000.00	$1,148.15	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $575.44	Professional		$446.68	$457.09	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $549.54	Professional		$389.05	$389.05	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,778.28	Professional		$602.56	$1,000.00	$1,778.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,000.00	Professional		$933.25	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $575.44	Facility		$275.42	$489.78	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $562.34	Professional		$338.84	$371.54	$562.34