Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $676.08	Professional		$288.40	$288.40	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,096.48 / $1,348.96	Facility		$380.19	$1,096.48	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $602.56	Professional		$134.90	$213.80	$602.56
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 / $1,122.02 / $1,122.02	Professional		$125.89	$1,122.02	$1,122.02