Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,309.57 / $12,589.25	Facility		$1,995.26	$6,309.57	$12,589.25
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 / $1,905.46 / $2,511.89	Facility		$501.19	$1,905.46	$2,511.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $6,165.95	Professional		$1,202.26	$1,737.80	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	AS	$43.65	$43.65	$43.65
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