Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $14,454.40	Facility		$2,089.30	$5,370.32	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,677.35 / $11,220.18	Facility		$1,288.25	$4,677.35	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,265.80 / $6,309.57	Facility		$1,230.27	$4,265.80	$6,309.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $3,981.07	Professional		$776.25	$1,122.02	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	AS	$28.84	$28.84	$28.84
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