Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $851.14	Facility		$489.78	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $831.76	Professional		$416.87	$549.54	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $2,137.96	Facility		$1,000.00	$1,122.02	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $741.31	Professional		$562.34	$588.84	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $616.60	Professional		$426.58	$426.58	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $2,137.96	Professional		$588.84	$1,000.00	$2,137.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,000.00	Professional		$954.99	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $616.60 / $724.44	Facility		$389.05	$616.60	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $707.95	Professional		$416.87	$467.74	$707.95