Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $3,630.78	Facility		$2,041.74	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,630.78	Professional		$1,862.09	$2,398.83	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $9,120.11	Facility		$4,168.69	$4,786.30	$9,120.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,162.28	Professional		$2,454.71	$2,570.40	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,388.44	Professional		$2,290.87	$2,290.87	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $10,471.29	Professional		$2,511.89	$4,168.69	$10,471.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $2,754.23 / $3,235.94	Facility		$3.31	$2,754.23	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $3,162.28	Professional		$1,862.09	$2,041.74	$3,162.28