Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,079.46 / $19,952.62	Facility		$1,778.28	$7,079.46	$19,952.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $23,988.33	Facility		$1,000.00	$3,019.95	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,258.93 / $2,511.89	Facility		$501.19	$1,258.93	$2,511.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	AS	$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $4,073.80	Professional		$812.83	$1,174.90	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	80	$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	AS	$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $17,378.01	Facility		$1,995.26	$7,762.47	$17,378.01