Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,659.59	Professional		$1,380.38	$1,380.38	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Professional		$1,380.38	$1,380.38	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,819.70	Facility		$1,318.26	$1,318.26	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Professional		$1,380.38	$1,380.38	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $213.80	Professional		$134.90	$190.55	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $134.90	Professional		$123.03	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,621.81 / $1,949.84	Professional		$125.89	$1,621.81	$1,949.84