Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $13,489.63 / $21,379.62	Facility		$3,890.45	$13,489.63	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $3,715.35	Professional		$2,344.23	$3,162.28	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,220.18 / $18,620.87	Facility		$4,786.30	$11,220.18	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,890.45	Professional		$1,621.81	$1,621.81	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $11,748.98	Facility		$2,041.74	$2,511.89	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $5,623.41	Professional		$4,677.35	$4,786.30	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,495.41	Professional		$5,370.32	$5,370.32	$5,495.41
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,890.45 / $3,890.45	Professional		$2,691.53	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,344.23	Professional		$1,621.81	$1,621.81	$2,344.23