Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,370.32 / $7,413.10	Facility		$1,202.26	$5,370.32	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,073.80 / $11,220.18	Facility		$1,288.25	$4,073.80	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,786.30 / $58,884.37	Facility		$1,288.25	$4,786.30	$58,884.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	AS	$128.82	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $4,570.88	Professional		$794.33	$1,122.02	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	AS	$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,413.10 / $17,378.01	Facility		$1,995.26	$7,413.10	$17,378.01