Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,479.11 / $1,479.11	Facility		$851.14	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,479.11	Professional		$691.83	$933.25	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,801.89	Facility		$1,737.80	$1,949.84	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,230.27	Professional		$933.25	$933.25	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,348.96	Professional		$912.01	$912.01	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,467.37	Professional		$1,047.13	$1,737.80	$3,467.37
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $1,737.80	Professional		$1,698.24	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1,023.29 / $1,230.27	Facility		$1.23	$1,023.29	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,174.90	Professional		$691.83	$776.25	$1,174.90